Colleen Mitchell, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 001637 Issued in GA

Practice address

5490 McGinnis Village PL
Suite 205
Alpharetta, GA 30005-1733

Phone

(404) 271-5104

NPI assigned

Jul 10, 2015

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

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": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1447634290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 MCGINNIS VILLAGE PL",
            "address_2": "SUITE 205",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051733",
            "telephone_number": "404-271-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 MCGINNIS VILLAGE PL",
            "address_2": "SUITE 205",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051733",
            "telephone_number": "404-271-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "LCSW 001637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon E. Minter, D.O
• Bruce R Miron, D.C.
• Hetal Mishra
• Mission Home Care LLC
• Jyotika Kooverjee Mistry, OTR
• Evelyn Mitchell, DNP, CRNA
• Kathleen Mitchell, O.D
• Lamar Kirkland Mitchell, MSW
• Latonya Nichole Mitchell
• Synclaire Lashawn Mitchell, OTD, OTR/L

• Clinical Social Worker in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.