Shannon Blair, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904017399 Issued in VA

Practice address

110 E Main St
Salem, VA 24153-3805

Phone

(540) 404-1220

Fax

(540) 861-3738

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Bending Reed Counseling, LLC

  • Clinical Social Worker
  • Salem, VA
  • NPI 1235076530
  Medicare reassignment NPD Authorized official
• Bending Reed Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1912714189
  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1649904640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 ACADEMY ST APT 2",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533769",
            "telephone_number": "540-404-1220",
            "fax_number": "540-861-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533805",
            "telephone_number": "540-404-1220",
            "fax_number": "540-861-3738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Academy St Apt 2",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241533769",
            "country_code": "US",
            "telephone_number": "540-404-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "SHANNON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001765094",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BendingReedCounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "212 Academy St Apt 2",
            "city": "Salem",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241533769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Anthony Bilello, R.PH.
• Clement B Binnings Jr., M.D.
• Bio-Medical Applications of Virginia Inc.
• Diane Elaine Black, MS,RD,CDE
• Karen S. Black, SPEECH LANGUAGE PATH
• Paula Joann Blake
• Ashlyn Blankenship
• William Joseph Blaskis, D.O.
• William Blaylock, M.D.
• Savannah Snow Blevins, BS, RBT

• Clinical Social Worker in Salem, VA
• Providers in Salem, 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 May 6, 2026; 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.