Stanley C Mitchell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW4463 Issued in FL

Practice address

6 Nuthatch TRL
Crawfordville, FL 32327-6204

Phone

(850) 000-0000

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1013118918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NUTHATCH TRL",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323276204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NUTHATCH TRL",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323276204",
            "telephone_number": "850-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1328 Coastal Hwy",
            "address_purpose": "LOCATION",
            "city": "Panacea",
            "state": "FL",
            "postal_code": "323462151",
            "country_code": "US",
            "telephone_number": "850-984-4735",
            "fax_number": "850-984-4742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STANLEY",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3403",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015546000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Connor Messer, RPH
• Brent Andrew Meyer, L.C.S.W.
• Kara Alford Minacci, MSCCCSLP
• Michael Galen Minardi, FNP-BC
• Mind Maven LLC
• Dennis R Mooney, DDS
• Laura Ann Morgan, PN
• Amelia Luz Morse, RN,BSN
• Meghan A Mowery, RCSWI
• David Frank Moynahan, M.D.

• Clinical Social Worker in Crawfordville, FL
• Providers in Crawfordville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.