Individual provider Active NPI

Viola Mitchell, LMSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1164619615
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801077778 Issued in MI
Practice address
302 S Waverly Rd
Suite 1
Lansing, MI 48917-3631
Phone
(517) 321-5900
Fax
(517) 321-5945
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801077778 MI Primary

Addresses

Primary practice location

302 S Waverly Rd
Suite 1
Lansing, MI 48917-3631

Mailing address

302 S Waverly Rd
Suite 1
Lansing, MI 48917-3631
Phone (517) 321-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20141007002822 MI Practitioner - Clinical Social Worker 6406076827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meridian Professional Psychological ConsultantsGroup PAC ID 5193880284, 15 clinicians

Practice addresses (Care Compare)

3815 W Saint Joseph St
A101 Meridian Professional Psychological Co
Lansing, MI 48917-3665
Phone (517) 321-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Professional Psychological Consultants CurrentSince Sep 1, 2022 Accepting new patients
Professional Psychological and Rehabilitation Services, PC PastSince Sep 17, 2014 Accepting new patients

Locations

5031 Park Lake Rd
East Lansing, MI 48823
Phone (517) 332-0811

3815 W Saint Joseph St
Ste A101
Lansing, MI 48917
Phone (517) 321-5900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1164619615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S WAVERLY RD",
            "address_2": "SUITE 1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173631",
            "telephone_number": "517-321-5900",
            "fax_number": "517-321-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S WAVERLY RD",
            "address_2": "SUITE 1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173631",
            "telephone_number": "517-321-5900",
            "fax_number": "517-321-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "VIOLA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801077778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.