Cora Mitchell, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW102940 Issued in CA

Practice address

1373 Keywood CT
Concord, CA 94521-3713

Phone

(925) 914-0643

NPI assigned

Oct 16, 2023

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

Other names 1

• Cora Bohacek Former name

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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1306628417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 LORTON AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 KEYWOOD CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213713",
            "telephone_number": "925-914-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CORA",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW102940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORA",
            "last_name": "BOHACEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anbiya Yunus Mitchell-McCullum
• Aurelia Tylar Mitchell
• Brian Milton Mitchell
• Brianna Alexandria Mitchell
• Cinque A Mitchell
• Daijanae Lashae Mitchell
• Jay S Mitchell
• Keyona Mitchell
• Nubiana Valencia Mitchell
• Oloka Mitchell

• Clinical Social Worker in Concord, CA
• Providers in Concord, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.