Sha'Leda Mirra
Clinical Social Worker · Lake City, FL
Sha'Leda Mirra is a clinical social worker with a practice address in Lake City, Florida, and NPI 1780015214, issued on Dec 10, 2013. Check the license (Florida SW11702, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Sha'Leda Mirra
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License numbers
- SW11702 FL
5724 FL
Self-reported in NPPES; status is on the state search - Practice location
- 922 SW Baya Dr, Lake City, FL 32025
- Phone
- (386) 697-8115
- Enumerated
- Dec 10, 2013
- Record last updated
- Dec 10, 2013 (not updated in 13 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20190320003134); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 13,458 in Florida → Look up another NPI →
Also registered at 922 SW Baya Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Bercela Banda, LCSWClinical Social Worker1255776795
- Patricia BonnerCounselor1720448814
- John Evans, LMHCMental Health Counselor1457606634
- Meredith Evans, RMHCICounselor1548605165
- Megan Hill, BSCounselor1851751994
- Pawel Lazarczyk, M.S.Mental Health Counselor1013339043
Verify Sha'Leda Mirra in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license SW11702Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Optum Behavioral Care OF North Carolina PCSarasota, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sha'Leda Mirra among 13,458 clinical social worker records in Florida
Sha'Leda Mirra is one of 13,458 clinical social worker records with a practice address in Florida. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 36% of them.
- NPI issued2013 · 36% of these records are older, 61% newer
- In a Medicare fileYes · 12% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2011 · median 2010 among the 2,789 with a school on file
- Record last updated2013 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
65 clinical social worker records list a practice address in Lake City
They are 65 of the 1,502 NPPES records with a practice address in Lake City, and 13,458 clinical social worker records in Florida.
All 13,458 in Florida → Every provider in Lake City → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Brigita Baumgardner, LCSWLake City, FL 320251114258076
- Nancy Blanton, LCSWLake City, FL 320251891016143
- Tabitha Duckworth, LISW-SUPVLake City, FL 320251386773638
- Joyce Feagle, LCSWLake City, FL 320251669605119
- Luis Gaviria, LCSWLake City, FL 320251437226982
- Brenda Holbrook, LCSWLake City, FL 320251942461421
- Anton Kootte, PHD LCSWLake City, FL 320251548249360
- Heather Kunnemann-Lee, LCSWLake City, FL 320251487671244
Common questions
What is Sha'Leda Mirra's NPI number?
Sha'Leda Mirra's National Provider Identifier (NPI) is 1780015214, issued on Dec 10, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Sha'Leda Mirra located?
The NPPES record lists a practice address at 922 SW Baya Dr, Lake City, FL, 32025. Phone: (386) 697-8115. Providers update this record themselves, so call before visiting.
How can I verify Sha'Leda Mirra's license?
NPPES lists Florida license number SW11702, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.