Individual provider Active NPI

Daniel Cole Mitchell, LMSW

  • Social Worker
  • Birmingham, AL
National Provider Identifier
1326792334
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5749G Issued in AL
Practice address
1 Perimeter Park S Ste 100N
Birmingham, AL 35243-3248
Phone
(205) 936-2356
Fax
(205) 273-5033
NPI assigned
Feb 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5749G AL Primary

Addresses

Primary practice location

1 Perimeter Park S Ste 100N
Birmingham, AL 35243-3248

Mailing address

1 Perimeter Park S Ste 100N
Birmingham, AL 35243-3248
Phone (205) 936-2356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603000525 AL Practitioner - Clinical Social Worker 4385186618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5749GALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Therapeutic Services, LLC CurrentSince May 20, 2024 Accepting new patients
Grove Counseling LLC Current Accepting new patients

Locations

1123 1st St N
Ste C
Alabaster, AL 35007
Phone (205) 807-9343

1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1326792334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERIMETER PARK S STE 100N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433248",
            "telephone_number": "205-936-2356",
            "fax_number": "205-273-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERIMETER PARK S STE 100N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433248",
            "telephone_number": "205-936-2356",
            "fax_number": "205-273-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DANIEL",
        "middle_name": "COLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "5749G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.