Active NPI
Mitsouko Chatelain, MSW, LCSW
- Clinical Social Worker
- Palmetto Bay, FL
National Provider Identifier
1013585306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW25416
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-3988827 | Other | FL | MENTAL HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://www.ffmhs.com/cm/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO, IL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW09932917 | CO | MD | Clinical Social Worker |
| SW25416 | FL | MD | Clinical Social Worker |
| 149.041099 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.