Mia Redmond, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C020368 Issued in NC

Practice address

224 Turnersburg Hwy # 1052
Statesville, NC 28625-2797

Phone

(704) 251-7217

Fax

(704) 303-9178

NPI assigned

May 28, 2024

Last updated

Aug 26, 2026By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melanin Therapy and Wellness Practice

  • Clinical Social Worker
  • Conover, NC
  • NPI 1821893017
  NPD Authorized official

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1659111748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 TRILLIUM CT SW",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286137913",
            "telephone_number": "704-657-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TURNERSBURG HWY # 1052",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252797",
            "telephone_number": "704-251-7217",
            "fax_number": "704-303-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "MIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C020368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Raven, DMD
• Blake Campbell Ravin, LPC
• Denise Overcash Ray, MPT
• Whitney Alexandria Reavis, PA
• Tom Redding
• Regional Physicians LLC (UNC Regional Physicians Carolina Cardiology)
• Nicholas David Reid, M.D.
• Kristen Ashley Reinhold, LCSWA
• Reliable Specialties
• Sherry Dawn Repass, FNP-BC

• Clinical Social Worker in Statesville, NC
• Providers in Statesville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.