SHA'LEDA MIRRA
NPI 1780015214
Social Worker - Clinical in Lake City, FL

Q: What is Sha'leda Mirra's NPI number?

The NPI number for Sha'leda Mirra is 1780015214. It was assigned to this individual provider in the NPPES registry on December 10, 2013.

Q: What is Sha'leda Mirra's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Sha'leda Mirra was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 10, 2013PECOS EnrolledAccepts Medicare Assignment

922 SW BAYA DR, LAKE CITY, FL 32025(386) 697-8115 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sha'leda Mirra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHA'LEDA MIRRA (NPI 1780015214) is an individual clinical provider in Lake City, Florida, licensed in Florida (SW11702) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1780015214

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSHA'LEDA MIRRA

Location Address922 SW BAYA DRLake City, FL 32025-4209

Mailing Address793 Sw Nautilus RdLake City, FL 32024-1335 · (386) 984-6618

Phone(386) 697-8115

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 10, 2013

✔ NPI 1780015214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW11702

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 5724 (FL)

922 SW BAYA DR, Lake City, FL 32025

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sha'leda Mirra is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385984723

PECOS Enrollment IDI20190320003134

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Sha'leda Mirra reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Behavioral Care Of North Carolina, P.C.

152 mi

Clinical

4700 N HABANA AVE STE 703
Tampa, FL 33614

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Optum Behavioral Care Of North Carolina PC
124 clinicians in this Medicare group

NPI 1295629756 (877) 622-0013

Vitae Health Medical Florida PLLC

173 mi

Internal Medicine

1775 HUNTINGTON LN
Rockledge, FL 32955

Reassigned Medicare billing, Florida enrollment
106 clinicians in this Medicare group

NPI 1013562024 (321) 632-7341

Grow Healthcare Group PA

339 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Florida enrollment
3,079 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER BRISA MOSS RMHCI

Counselor (Mental Health)