Tiffany Mitchell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105793 Issued in TX

Practice address

201 E Debbie LN
Mansfield, TX 76063-2924

Phone

(682) 593-6808

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1306585922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E DEBBIE LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E DEBBIE LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632924",
            "telephone_number": "682-593-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TIFFANY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmitchell@immanuels.com",
            "affiliation": "N",
            "address_1": "201 E Debbie Ln",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760632924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly A Misamore, MD
• Erica Sylvia Mitchell
• Hailey Mitchell, LPC
• Madeline Mitchell, LMFT - ASSOCIATE
• Stephanie Lynn Mitchell, RN, MSN, CPNP
• Brandi N Mizell, LMSW
• Shelese Moaning, LPC
• Modena Holdings, LLC
• Modrall Dentistry, PA
• Amy Jo Modrall, D.D.S.

• Clinical Social Worker in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.