Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fred Richard Mignone, LCSW

Individual provider Clinical Social Worker · NPI 1538131446

Fred Richard Mignone, LCSW is a Clinical Social Worker in Christiansburg, Virginia. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
29
Licensed in
VA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

159 Walters Dr
Christiansburg, VA 24073-1041
Phone: (540) 381-3101
Fax: (540) 381-3105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904005115 (VA)

Record details

NPI number1538131446
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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