NPIMap

Organization Active NPI

Michele Marie Mixon, LCSW

  • Clinical Social Worker
  • Mandeville, LA
National Provider Identifier
1144619842
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8769 Issued in LA
Legal business name
MICHELE MARIE MIXON, LCSW
Practice address
2244 11TH St
Mandeville, LA 70471-1824
Phone
(225) 266-8122
NPI assigned
Jan 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Michele Mixon, LCSW
Title
Owner
Phone
(225) 266-8122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 8769 LA Primary

Addresses

Primary practice location

2244 11TH St
Mandeville, LA 70471-1824

Mailing address

2244 11TH St
Mandeville, LA 70471-1824

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1144619842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 11TH ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 11TH ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711824",
            "telephone_number": "225-266-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE MARIE MIXON, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-18",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-266-8122",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.