Active NPI
Laketia Deshawn Baker, DSW, LCSW
- Clinical Social Worker
- North Chesterfield, VA
National Provider Identifier
1467048637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904014920
- Practice address
- 6419 Faulkner Dr
North Chesterfield, VA 23234-6213 - Phone
- (804) 496-1073
- Fax
- (804) 410-8003
- NPI assigned
- Dec 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904014920 | VA | Primary |
| Clinical Social Worker | 1041C0700X | 11644-C | AR | |
| Clinical Social Worker | 1041C0700X | 44SC06285000 | NJ | |
| Clinical Social Worker | 1041C0700X | Q5-0000057 | DE | |
| Clinical Social Worker | 1041C0700X | TPSW3060 | FL | |
| Clinical Social Worker | 1041C0700X | C016649 | NC | |
| Clinical Social Worker | 1041C0700X | 32835 | MD |
Addresses
Primary practice location
6419 Faulkner Dr
North Chesterfield, VA 23234-6213
Mailing address
10221 Krause Rd Unit 624
Chesterfield, VA 23832-1225
Phone (804) 496-1073
Other names 1
- Laketia Deshawn Jones
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11644-C | AR | MD | Clinical Social Worker |
| Q5-0000057 | DE | MD | Clinical Social Worker |
| TPSW3060 | FL | MD | Clinical Social Worker |
| 32835 | MD | MD | Clinical Social Worker |
| C016649 | NC | MD | Clinical Social Worker |
| 44SC06285000 | NJ | MD | Clinical Social Worker |
| 0904014920 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purposed Healing, LLC | Clinical | Current | Accepting new patients |
Locations
10221 Krause Rd
Unit 624
Chesterfield, VA 23832
Phone (804) 504-1388
Organizations & group practices 1
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.
-
- Clinical Social Worker
- North Chesterfield, VA
- NPI 1356120133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1467048637",
"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",
"fax_number": "804-410-8003"
},
{
"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",
"fax_number": "804-410-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "LAKETIA",
"middle_name": "DESHAWN",
"name_prefix": "Dr.",
"credential": "DSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014920",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "11644-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06285000",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q5-0000057",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "TPSW3060",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C016649",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "32835",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAKETIA",
"last_name": "JONES",
"middle_name": "DESHAWN",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.