Mylira Jervette Cary, MSW, LCSW, CCTP-II

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011048 Issued in VA

Practice address

1021 Eden Way N Ste 109
Chesapeake, VA 23320-2776

Phone

(757) 785-5540

NPI assigned

Dec 4, 2019

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

Other names 1

• Ms. Mylira Jervette Green Former name

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1780221242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GRAYSTONE TRCE",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353235",
            "telephone_number": "757-541-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 EDEN WAY N STE 109",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202776",
            "telephone_number": "757-785-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARY",
        "first_name": "MYLIRA",
        "middle_name": "JERVETTE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, CCTP-II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYLIRA",
            "last_name": "GREEN",
            "middle_name": "JERVETTE",
            "prefix": "MS.",
            "credential": "MSW, LCSW, CCTP-II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deidre M Carter, BSN, RN
• Erica Nicole Carter, PA-C
• Larry Carter II
• Thomas Lloyd Carter Jr., M.D.
• Veronica S Cartwright, P. T.
• Kim Casey, RD
• Pedro L Casingal Jr., DDS
• Harold Patrick Cason, MDIV., MACE,
• David James Castaldo, M.D.
• Danielle O. Castillo, MD

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, 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 Jan 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.