Purposed Healing, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PURPOSED HEALING, LLC

Practice address

6419 Faulkner Dr
North Chesterfield, VA 23234-6213

Phone

(804) 496-1073

NPI assigned

Sep 21, 2023

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Laketia Deshawn Baker, LCSWNPI 1467048637

Title

Therapist

Phone

(804) 496-1073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laketia Deshawn Baker, DSW, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
  • NPI 1467048637
  Medicare reassignment NPD Authorized official
• Jenny Chin, LCSW

  • Clinical Social Worker
  • Centreville, VA
  • NPI 1205665197
  NPD (past)

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1356120133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 KRAUSE RD UNIT 624",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238321225",
            "telephone_number": "804-496-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 FAULKNER DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232346213",
            "telephone_number": "804-496-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSED HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LAKETIA",
        "authorized_official_middle_name": "DESHAWN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "804-496-1073",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in North Chesterfield, VA
• Providers in North Chesterfield, 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 Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.