Mica Lakey Claiborne, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010766 Issued in VA

Practice address

2540 Professional Rd Ste 5
North Chesterfield, VA 23235-3213

Phone

(804) 210-2402

Fax

(804) 302-6436

NPI assigned

Jun 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Positive Growth, PLLC

  • Clinical Social Worker
  • North Chesterfield, VA
  • NPI 1619584877
  NPD

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1619547155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ADDISON WAY APT 17-3F",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059310",
            "telephone_number": "804-590-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 PROFESSIONAL RD STE 5",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353213",
            "telephone_number": "804-210-2402",
            "fax_number": "804-302-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIBORNE",
        "first_name": "MICA",
        "middle_name": "LAKEY",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Cimring, PT
• Alexandra Cipriani, MS, BCBA, LBA
• Circle of Wellness LLC
• CJW Sports Medicine, LLC
• Claiborn & Associates Inc.
• Shameka Clark-Savage, LPC
• Lexus Clark
• Samantha Clark, SLP
• Angela Brianne Clarke, NP
• Sheila D Clasbey, M.D.

• 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 Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.