Ashley Shanta Mitchell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011131 Issued in VA

Practice address

2120 Washington Blvd FL 2
Arlington, VA 22204-5718

Phone

(703) 228-5346

NPI assigned

Jul 16, 2019

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

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Virginia Older Adult Counseling 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Virginia Older Adult Counseling

  • Community/Behavioral Health Agency
  • Fairfax, VA
  • NPI 1831569896

  DC

  Medicare reassignment Care Compare group NPD
• Arlington County Government Department of Managment & Finance

  • Community/Behavioral Health Agency
  • Arlington, VA
  • NPI 1043280415

  DC

  Medicare reassignment

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1164074431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 WASHINGTON BLVD FL 2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045718",
            "telephone_number": "703-228-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 WASHINGTON BLVD FL 2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045718",
            "telephone_number": "703-228-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ASHLEY",
        "middle_name": "SHANTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne L. Minor, L.C.S.W.
• Mira Dental Care PLLC
• Maria Mirabela
• Laura Miner Miskimins, M.S.W.
• Albert Mitchell III
• Tiffany Monique Mitchell
• Mobility Spa LLC
• Rohit M. Modak, M.D.
• Modern Mind Therapy & Life Coaching LLC
• Moements, PLLC

• All providers in Arlington, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.

Verify at the official NPI Registry.