IndividualActive
De'Voncia Mickins
NPI 1992383103 · Clinical Social Worker · Lake Waccamaw, NC
Provider details
- NPI number
- 1992383103
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- P015383 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 E Old US 74/76
Lake Waccamaw, NC 28450-1927
Phone: (252) 521-0773
Approximate (ZIP-level) locationGet directions
Mailing address
855 Old Homestead Rd
Kinston, NC 28504-6854
Registry dates
- Enumerated
- 2021-03-30
- Last updated
- 2021-03-30
- Certified
- 2021-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.