Individual provider Active NPI

Mitsouko Chatelain, MSW, LCSW

  • Clinical Social Worker
  • Palmetto Bay, FL
National Provider Identifier
1013585306
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25416 Issued in FL
Practice address
15924 SW 92ND Ave
Palmetto Bay, FL 33157-1842
Phone
(754) 444-7432
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW25416 FL Primary
Clinical Social Worker 1041C0700X CSW09932917 CO
Clinical Social Worker 1041C0700X 149.041099 IL

Addresses

Primary practice location

15924 SW 92ND Ave
Palmetto Bay, FL 33157-1842

Mailing address

8711 Ridgeland Dr
Cutler Bay, FL 33157-7133
Phone (754) 444-7432

Other practice location 1

8711 Ridgeland Dr
Cutler Bay, FL 33157-7133
Phone (754) 444-7432

Other identifiers 1

IdentifierTypeStateIssuer
83-3988827OtherFLMENTAL HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.ffmhs.com/cm/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO, IL, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250928000108 FL Practitioner - Clinical Social Worker 8224533369 Reassigns benefits to 1 organization
I20260327002366 CO Practitioner - Clinical Social Worker 8224533369 Reassigns benefits to 1 organization
I20260508002647 IL Practitioner - Clinical Social Worker 8224533369 Reassigns benefits to 1 organization
I20260522001866 TX Practitioner - Clinical Social Worker 8224533369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW09932917COMDClinical Social Worker
SW25416FLMDClinical Social Worker
149.041099ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 19, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1013585306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 RIDGELAND DR",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577133",
            "telephone_number": "754-444-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15924 SW 92ND AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571842",
            "telephone_number": "754-444-7432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8711 Ridgeland Dr",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331577133",
            "country_code": "US",
            "telephone_number": "754-444-7432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHATELAIN",
        "first_name": "MITSOUKO",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25416",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09932917",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.041099",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "83-3988827",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.ffmhs.com/cm/",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "15924 SW 92nd Ave",
            "city": "Palmetto Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331571842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.