NPPES file of Aug 9, 2026

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.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1780015214
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
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 922 SW Baya Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Bercela Banda, LCSWClinical Social Worker1255776795
  2. Patricia BonnerCounselor1720448814
  3. John Evans, LMHCMental Health Counselor1457606634
  4. Meredith Evans, RMHCICounselor1548605165
  5. Megan Hill, BSCounselor1851751994
  6. Pawel Lazarczyk, M.S.Mental Health Counselor1013339043

Verify Sha'Leda Mirra in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license SW11702
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. 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.

The 8 clinical social worker records with the nearest ZIP codes

  1. Brigita Baumgardner, LCSWLake City, FL 320251114258076
  2. Nancy Blanton, LCSWLake City, FL 320251891016143
  3. Tabitha Duckworth, LISW-SUPVLake City, FL 320251386773638
  4. Joyce Feagle, LCSWLake City, FL 320251669605119
  5. Luis Gaviria, LCSWLake City, FL 320251437226982
  6. Brenda Holbrook, LCSWLake City, FL 320251942461421
  7. Anton Kootte, PHD LCSWLake City, FL 320251548249360
  8. 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.