Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interwoven Roots PLLC

Organization Clinical Social Worker · NPI 1396676367

Interwoven Roots PLLC is a Clinical Social Worker in Champaign, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

206 N Randolph St Ste 432
Champaign, IL 61820-3978
Phone: (217) 621-5609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1396676367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Shannon — Social Worker · (217) 621-5609
NPI enumeratedMay 27, 2026
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address1008 S Wabash Ave, Urbana, IL 61801-5216

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