Jonathan Mitchelmore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW79318 Issued in CA

Practice address

100 S Ellsworth Ave Ste 802
San Mateo, CA 94401-3926

Phone

(650) 539-8042

NPI assigned

Aug 23, 2011

Last updated

Sep 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1023398963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 MISSION ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE STE 802",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013926",
            "telephone_number": "650-539-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELMORE",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW79318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Maria-Elena Miranda
• Cristian Miranda
• Nassim Mirreghabie
• Mission Hospice & Home Care Inc.
• Mission Hospice & Home Care, Inc.
• Linda Kajlsa Miyatake, DDS MD
• Tina Mizukami, MFT
• Mobile Health Consumer, Inc.
• Danielle Mock
• Lorraine Mock, L. AC.

• Clinical Social Worker in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.