Shannon Rakes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008365 Issued in VA

Practice address

1685 K-V Road
Victoria, VA 23974

Phone

(434) 696-2319

Fax

(434) 696-2326

NPI assigned

Sep 13, 2013

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Dominion Health System IncGroup PAC ID 0648188755, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.rakes@sdhs.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Dominion Health System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Victoria, VA
  • NPI 1295706588
  Medicare reassignment Care Compare group NPD
• Southern Dominion Health System, Inc.

  dba Lunenburg Medical Center

  • Federally Qualified Health Center (FQHC)
  • Victoria, VA
  • NPI 1497969091
  NPD

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1629403209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "VICTORIA",
            "state": "VA",
            "postal_code": "239740070",
            "telephone_number": "434-696-2319",
            "fax_number": "434-696-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 K-V ROAD",
            "city": "VICTORIA",
            "state": "VA",
            "postal_code": "23974",
            "telephone_number": "434-696-2319",
            "fax_number": "434-696-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKES",
        "first_name": "SHANNON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Parsons, LPC
• Ashley Pollard, DDS
• Troy West Pulliam, PAC
• Wendy Jones Pulliam, MS, CCC-SLP
• Jordan Rafferty, D.M.D
• Zhara Sawyer
• Southern Dominion Health System Inc (Housecalls for the Homebound)
• Southern Dominion Health System, Inc. (SDHS Counseling & Behavioral Services)
• Southern Dominion Health System, Inc.
• Southern Dominion Health System, Inc. (SDHS Family Dentistry)

• Clinical Social Worker in Victoria, VA
• Providers in Victoria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.