Interwoven Roots PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTERWOVEN ROOTS PLLC

Practice address

206 N Randolph St Ste 432
Champaign, IL 61820-3978

Phone

(217) 621-5609

NPI assigned

May 27, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Joy Shannon, LCSWNPI 1790473676

Title

Social Worker

Phone

(217) 621-5609

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Shannon, LCSW

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1790473676

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1396676367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 S WABASH AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618015216",
            "telephone_number": "217-621-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 432",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203978",
            "telephone_number": "217-621-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERWOVEN ROOTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "217-621-5609",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Ingle
• Jennifer Ingold, NP-C
• Desiree Ingram, RBT
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• Insight Therapy
• Heather Renee Irelan, PMHNP-BC, FNP-C
• Linda Irle, NP
• Krishna M Irrinki, M.D
• Andrea Gabrielle Irwin, LMHC
• Kacy Irwin

• All providers in Champaign, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.