Ariana Nicole Mitchem

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019899 Issued in NC

Practice address

1945 J N Pease PL Ste 102
Charlotte, NC 28262-4555

Phone

(704) 405-8890

NPI assigned

Nov 6, 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

Practice roles

Locations

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.

• New Leaf Adolescent Care, Inc

  • Case Management Agency
  • Charlotte, NC
  • NPI 1821140401
  NPD

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1508639196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 OLD STEINE RD APT 1413",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696725",
            "telephone_number": "704-230-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 J N PEASE PL STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624555",
            "telephone_number": "704-405-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEM",
        "first_name": "ARIANA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tascha Latrice Mitchell, PHLEBOTOMIST
• Timothy Eugene Mitchell, DO
• Todd Mitchell, M.D.
• Tomina Mitchell
• Mitchell4D, LLC
• Donnie S. Mitchem, LPA
• Jericha Mitchem
• Richard J. Mitlehner, MD
• Avick G Mitra, MD
• Sarah Mitrano

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Nov 6, 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.