Fred Richard Mignone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005115 Issued in VA

Practice address

159 Walters Dr
Christiansburg, VA 24073-1041

Phone

(540) 381-3101

Fax

(540) 381-3105

NPI assigned

Feb 3, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cradlespeed LLC

  • Clinical Social Worker
  • Blacksburg, VA
  • NPI 1104380831
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538131446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 GINGER LN",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602049",
            "telephone_number": "540-381-3101",
            "fax_number": "540-381-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WALTERS DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731041",
            "telephone_number": "540-381-3101",
            "fax_number": "540-381-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNONE",
        "first_name": "FRED",
        "middle_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008942455",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "515460",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2116435",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "455673000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "436723",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7819434",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer McAden Merritt, LPC
• Natalie Ann Mey, SSP
• Luis Angel Meza Contreras, DMD
• Pradnya Yashavant Mhatre, M.D.
• Laura Kay Miear, OCCUPATIONAL THERAPI
• Stephen E Milam, PHARM.D., B.C.C.C.P.
• Margaret Miller, NP-C
• Molly Elizabeth Miller, MS, RD
• John Edward Mills, RPH
• Robin D Minks, DO

• Clinical Social Worker in Christiansburg, VA
• Providers in Christiansburg, 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 13, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.