NPIMap

Organization Active NPI

Tara Mitchell, LCSW

  • Clinical Social Worker
  • Cleburne, TX
National Provider Identifier
1245830991
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TARA MITCHELL, LCSW
Practice address
904 N Main St Ste C
Cleburne, TX 76033-3803
Phone
(817) 645-3328
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Tara Mitchell, LCSWNPI 1851991723
Title
Clinical Social Worker
Phone
(817) 645-3328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

904 N Main St Ste C
Cleburne, TX 76033-3803

Mailing address

904 N Main St Ste C
Cleburne, TX 76033-3803
Phone (817) 645-3328

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201130001664 TX Part B Supplier - Clinic/Group Practice 2365853132 Receives reassigned benefits from 1 practitioner
Practice locations: Cleburne, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1245830991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N MAIN ST STE C",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333803",
            "telephone_number": "817-645-3328",
            "fax_number": "817-558-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 N MAIN ST STE C",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333803",
            "telephone_number": "817-645-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA MITCHELL, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "817-645-3328",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.