Individual provider Active NPI

Laketia Deshawn Baker, DSW, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1467048637
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014920 Issued in VA
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

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250425000805 VA Practitioner - Clinical Social Worker 5799201406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11644-CARMDClinical Social Worker
Q5-0000057DEMDClinical Social Worker
TPSW3060FLMDClinical Social Worker
32835MDMDClinical Social Worker
C016649NCMDClinical Social Worker
44SC06285000NJMDClinical Social Worker
0904014920VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Purposed Healing, LLC Clinical CurrentSince Feb 19, 2025 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.

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

Verify at the official NPI Registry.