Shannon K. Garrett-Redmond LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHANNON K. GARRETT-REDMOND LLC

Doing business as

Roots & Wings Counseling

Practice address

6440 Thomas Jefferson Pkwy Ste F
Palmyra, VA 22963-6216

Phone

(434) 249-0167

NPI assigned

Jul 20, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Shannon K Garrett-Redmond, LCSWNPI 1083276448

Title

Owner/Clinician

Phone

(434) 249-0167

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Roots & Wings Counseling Doing business as

Locations

Practitioners 1

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

• Shannon Kathleen Garrett-Redmond, LCSW

  • Clinical Social Worker
  • Palmyra, VA
  • NPI 1083276448
  NPD Authorized official

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1699400028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 THOMAS JEFFERSON PKWY STE F",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229636216",
            "telephone_number": "434-249-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 THOMAS JEFFERSON PKWY STE F",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229636216",
            "telephone_number": "434-249-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON K. GARRETT-REDMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "GARRETT-REDMOND",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "434-249-0167",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "090401148",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots & Wings Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kateri Dana Rupnarine, DPT
• Brittany Leigh Sanders, LCSW
• Samantha Sanner, MBA, RDN, LDN
• Nikkita A Saunders, NP
• Cynthia S Scott, ED.S.
• Bradley Sheffield, RN
• Joseph Shelton, NP
• Katherine Smyth, M.D.
• Southeastern Physical Therapy, Inc
• Jeffrey Alan Spence, D.D.S.

• Clinical Social Worker in Palmyra, VA
• Providers in Palmyra, 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 20, 2022; 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.