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DE'VONCIA LACHEL MICKINS
NPI 1992383103
Social Worker - Clinical in Lake Waccamaw, NC

Active since March 30, 2021
104 E OLD US 74/76, LAKE WACCAMAW, NC 28450(252) 521-0773 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About De'voncia Lachel Mickins NPPES

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

DE'VONCIA LACHEL MICKINS (NPI 1992383103) is an individual clinical provider in Lake Waccamaw, North Carolina, licensed in North Carolina (P015383) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1992383103
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDE'VONCIA LACHEL MICKINS
Location Address104 E OLD US 74/76Lake Waccamaw, NC 28450-1927
Mailing Address855 Old Homestead RdKinston, NC 28504-6854 · (252) 521-0773
Phone(252) 521-0773
Sole ProprietorNo
Enumeration DateMarch 30, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1992383103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P015383
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.
104 E OLD US 74/76, Lake Waccamaw, NC 28450
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is De'voncia Mickins's NPI number?

The NPI number for De'voncia Mickins is 1992383103. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is De'voncia Mickins located?

De'voncia Mickins practices at 104 E Old Us 74/76, Lake Waccamaw, NC 28450. The listed phone number is (252) 521-0773.

What is De'voncia Mickins's specialty?

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

When was this NPI record last updated?

The NPPES record for De'voncia Mickins was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.