Individual provider Active NPI

Steven Mitchell, ASW

  • Case Manager/Care Coordinator
  • Laguna Niguel, CA
National Provider Identifier
1083983100
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
201125610255 Issued in CA
Practice address
27985 Via del Agua
Laguna Niguel, CA 92677-7358
Phone
(949) 716-4923
Fax
(949) 716-4806
NPI assigned
Dec 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 201125610255 CA Primary

Addresses

Primary practice location

27985 Via del Agua
Laguna Niguel, CA 92677-7358

Mailing address

27985 Via del Agua
Laguna Niguel, CA 92677-7358
Phone (949) 716-4923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201125610255CAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1083983100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27985 VIA DEL AGUA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777358",
            "telephone_number": "949-716-4923",
            "fax_number": "949-716-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27985 VIA DEL AGUA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777358",
            "telephone_number": "949-716-4923",
            "fax_number": "949-716-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "201125610255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.