Active NPI
Danielle Mitchell-Samuel
- Social Worker
- Weston, MA
National Provider Identifier
1265297394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 226197
- Practice address
- 444 Wellesley St
Weston, MA 02493-2631 - Phone
- (781) 786-5871
- NPI assigned
- Feb 19, 2024
- Last updated
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 226197 | MA | Primary |
Addresses
Primary practice location
444 Wellesley St
Weston, MA 02493-2631
Mailing address
444 Wellesley St
Weston, MA 02493-2631
Other names 1
- Danielle Mitchell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226197 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1265297394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 WELLESLEY ST",
"city": "WESTON",
"state": "MA",
"postal_code": "024932631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 WELLESLEY ST",
"city": "WESTON",
"state": "MA",
"postal_code": "024932631",
"telephone_number": "781-786-5871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL-SAMUEL",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "226197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "MITCHELL",
"credential": "LCSW, MSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Weston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.