Deidra Sledge

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013369 Issued in VA

Practice address

9211 Forest Hill Ave Ste 204
Richmond, VA 23235-6877

Phone

(757) 296-0800

NPI assigned

Nov 7, 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

Opted out of Medicare

Yes, effective Sep 17, 2024 through Sep 17, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Richmond Creative Counseling

  • Adult Mental Health Clinic/Center
  • North Chesterfield, VA
  • NPI 1285322628

  Clinical

  NPD (past)
• Richmond Creative Counseling, LLC

  • Professional Counselor
  • Richmond, VA
  • NPI 1689016735
  NPD (past)

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

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1710642467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 FOREST HILL AVE STE 204",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232356877",
            "telephone_number": "757-296-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 FOREST HILL AVE STE 204",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232356877",
            "telephone_number": "757-296-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11650 Belvedere Vista Ln Apt 204",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232354356",
            "country_code": "US",
            "telephone_number": "804-269-6516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "DEIDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Marie Slaughter
• Clarence Edward Slaughter Jr., LICSW
• Sarah Slaughter, BCBA
• Nicole Molly Slaven, PA-C
• Andrea Sledd, MSW
• Alex Leonard Sleeker, M.D.
• Sleep Clinic for Children and Adults
• Sleep Clinics of America, Inc
• Dennett Clinton Slemp, LPC
• J. Patrick Slifka, LCSW, CAC

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, 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 May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.