Gabrielle Lynise Mitchell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012768 Issued in NC

Practice address

2129 Statesville Blvd
Salisbury, NC 28147-1411

Phone

(704) 633-3616

Fax

(704) 633-5902

NPI assigned

Aug 27, 2018

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1255812277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SE MAYNARD RD STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113628",
            "telephone_number": "910-556-9075",
            "fax_number": "919-367-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 STATESVILLE BLVD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471411",
            "telephone_number": "704-633-3616",
            "fax_number": "704-633-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "GABRIELLE",
        "middle_name": "LYNISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kitty Mishak, LPN
• Holly M Miskey, PHD
• Frances Lee Misner, MPT
• Gavin Isaac Misner, M.D.
• Carrie Elizabeth Mitchell, PHARMD
• James Thomas Mitchell, DDS
• Mattia Brianna Mitchell, LCSWA
• Symfonie Mitchell, LPCA
• Gregory C. Mitro, M.D.
• Modern Eye Care of Salisbury OD PA

• Clinical Social Worker in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.