Active NPI
Lakeisha L Doman, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1881262277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904012126
- Practice address
- 5875 Bremo Rd Ste 303
Richmond, VA 23226-1934 - Phone
- (804) 281-8303
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904012126 | VA | Primary |
Addresses
Primary practice location
5875 Bremo Rd Ste 303
Richmond, VA 23226-1934
Mailing address
5875 Bremo Rd Ste 303
Richmond, VA 23226-1934
Phone (804) 281-8303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904012126 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1881262277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875 BREMO RD STE 303",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-281-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 BREMO RD STE 303",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-281-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMAN",
"first_name": "LAKEISHA",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904012126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.