Carrie Adeline Mitchell, MSW, LCSW, LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009789 Issued in NC

Practice address

441 Leyland Cypress LN
Fuquay Varina, NC 27526

Phone

(919) 389-5484

Fax

(919) 552-9544

NPI assigned

Dec 19, 2015

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)

Enrolled

State licenses

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

{
    "created_epoch": "1450483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1376908228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 LEYLAND CYPRESS LN",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262501",
            "telephone_number": "919-389-5484",
            "fax_number": "919-552-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 LEYLAND CYPRESS LN",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "27526",
            "telephone_number": "919-389-5484",
            "fax_number": "919-552-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CARRIE",
        "middle_name": "ADELINE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-19",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Mims, LPC
• Lisa L Mims
• Cameron Mines
• Ashley Padgett Misischia, PT
• Ashley Mitchell
• Mitra Pain Management PLLC
• Maria Mkhikian
• Modern Mystics, LLC
• Giselle Lauren Monahan, FNP
• Monarch

• Clinical Social Worker in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.