Tiffany Lynn Mitchell, LCSW, CCLS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15575 Issued in FL

Practice address

300 S Australian Ave Unit 718
West Palm Beach, FL 33401-5097

Phone

(561) 614-6026

NPI assigned

Dec 8, 2023

Last updated

Dec 8, 2023By the provider in NPPES

Sex

Female

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": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1154198141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S AUSTRALIAN AVE UNIT 718",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015097",
            "telephone_number": "561-614-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S AUSTRALIAN AVE UNIT 718",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015097",
            "telephone_number": "561-614-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "LCSW, CCLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Mitchell
• Elaine King Mitchell, ARNP
• Laquesha Mitchell
• Robert Andrew Mitchell, RN, SRNA
• Ronnie Mitchell, LCSW
• Terrence Preston Mitchum
• Brian Mitteldorf, D.C.
• Katie Mittelstaedt
• Mittleman Eye Center PA
• David Aaron Mittleman, M.D.

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.