Individual provider Active NPI

Satina Mitchell, LCSW

  • Clinical Social Worker
  • Meriden, CT
National Provider Identifier
1376806422
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006783 Issued in CT
Practice address
12 Curtis St Ste 24
Meriden, CT 06450-5900
Phone
(860) 317-0262
Fax
(860) 318-7422
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6783 CT
Clinical Social Worker 1041C0700X 006783 CT Primary

Addresses

Primary practice location

12 Curtis St Ste 24
Meriden, CT 06450-5900

Mailing address

1077 Silas Deane Hwy
Wethersfield, CT 06109-4229
Phone (860) 317-0262

Other practice location 1

185 Silas Deane Hwy
3rd floor
Wethersfield, CT 06109-2123
Phone (860) 317-0262

Other identifiers 1

IdentifierTypeStateIssuer
008043420MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://oakcounselingservices.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20200811000705 CT Practitioner - Clinical Social Worker 7416372289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12 Curtis St
Suite 24
Meriden, CT 06450-5900
Phone (860) 317-0262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006783CTMDClinical Social Worker
6783CTMDOccupational Therapist

Organizations & group practices 1

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1376806422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094229",
            "telephone_number": "860-317-0262",
            "fax_number": "860-318-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CURTIS ST STE 24",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505900",
            "telephone_number": "860-317-0262",
            "fax_number": "860-318-7422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Silas Deane Hwy",
            "address_2": "3rd floor",
            "address_purpose": "LOCATION",
            "city": "Wethersfield",
            "state": "CT",
            "postal_code": "061092123",
            "country_code": "US",
            "telephone_number": "860-317-0262",
            "fax_number": "860-318-7422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SATINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "6783",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008043420",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://oakcounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "12 Curtis St Ste 24",
            "city": "Meriden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064505900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.