Individual provider Active NPI

Teer Williams Mitchell, LCSW

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1447649199
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006625 Issued in GA
Practice address
7130 Hodgson Memorial Dr Ste 101
Savannah, GA 31406-1527
Phone
(912) 355-3881
NPI assigned
Jan 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW006625 GA Primary

Addresses

Primary practice location

7130 Hodgson Memorial Dr Ste 101
Savannah, GA 31406-1527

Mailing address

1 Redwall Cir
Savannah, GA 31407-9040
Phone (912) 507-3125

Other practice location 1

131 Canal St Ste D
Pooler, GA 31322-6019
Phone (912) 988-3181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1447649199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 REDWALL CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314079040",
            "telephone_number": "912-507-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 HODGSON MEMORIAL DR STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061527",
            "telephone_number": "912-355-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Canal St Ste D",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313226019",
            "country_code": "US",
            "telephone_number": "912-988-3181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TEER",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.