Bridget Mitchell, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150109831 Issued in IL

Practice address

60 Revere Dr Ste 200
Northbrook, IL 60062-1574

Phone

(224) 221-2293

NPI assigned

Jan 11, 2023

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1346954559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 SPRINGFIELD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762723",
            "telephone_number": "847-917-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 REVERE DR STE 200",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621574",
            "telephone_number": "224-221-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRIDGET",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150109831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Minsky, MS, HWC
• Richard A. Mintzer, M.D.
• Natalie Mirek, LCPC
• Morton Chester Mirman, PH.D.
• Mirna Misseha
• Teresa Mitchell
• Young Mitrisin
• Jan Ah-Oi Kainoa Miyamoto, PT, DPT
• Mobile Diagnostic Care, Inc.
• Mobile Endoscopix LLC

• Social Worker in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.