Individual provider Active NPI

Ciera N Draine, LCSW

  • Clinical Social Worker
  • Lexington, MS
National Provider Identifier
1912245671
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C7934 Issued in MS
Practice address
Dr Arenia C Mallory Community Health Center
17280 Highway 17 S
Lexington, MS 39095
Phone
(662) 834-1857
Fax
(870) 972-4911
NPI assigned
Jan 30, 2013
Last updated
Mar 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C7934 MS Primary

Addresses

Primary practice location

Dr Arenia C Mallory Community Health Center
17280 Highway 17 S
Lexington, MS 39095

Mailing address

PO Box 84
Sharon, MS 39163
Phone (870) 972-4939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20181002000435 MS Practitioner - Clinical Social Worker 0648578419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C7934MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mallory Community Health CurrentSince Jun 2, 2025 Accepting new patients

Locations

17280 Highway 17
Lexington, MS 39095
Phone (662) 834-0752

300 Yazoo St
#C
Lexington, MS 39095
Phone (662) 834-5000

Interoperability endpoints

  • Direct secure messaging: ciera.draine.1@19209.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1912245671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "SHARON",
            "state": "MS",
            "postal_code": "39163",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DR ARENIA C MALLORY COMMUNITY HEALTH CENTER",
            "address_2": "17280 HIGHWAY 17 S",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "39095",
            "telephone_number": "662-834-1857",
            "fax_number": "870-972-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAINE",
        "first_name": "CIERA",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C7934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MS

Sources for this page

Verify at the official NPI Registry.