Provider Demographics
NPI:1063797256
Name:BARRETT, LAKESHA MITCHELL (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LAKESHA
Middle Name:MITCHELL
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 MONUMENT AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3634
Mailing Address - Country:US
Mailing Address - Phone:804-543-1388
Mailing Address - Fax:
Practice Address - Street 1:5002 MONUMENT AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3634
Practice Address - Country:US
Practice Address - Phone:804-543-1388
Practice Address - Fax:804-497-4677
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040076261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical