Tennille Woodard Mitchell, LISW-CP, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17181 Issued in SC

Practice address

161 Landmark Dr
Taylors, SC 29687-2819

Phone

(864) 244-0154

NPI assigned

Jul 19, 2019

Last updated

Nov 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregory S. Smith & Associates, P.a.

  dba GSS Associates

  • Clinical Social Worker
  • Taylors, SC
  • NPI 1831134949
  NPD

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1578116562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ASPENCREEK CIR APT 303",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293016575",
            "telephone_number": "252-314-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 LANDMARK DR",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872819",
            "telephone_number": "864-244-0154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Foothills Road",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296022410",
            "country_code": "US",
            "telephone_number": "864-467-3790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296072410",
            "country_code": "US",
            "telephone_number": "864-467-3790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODARD MITCHELL",
        "first_name": "TENNILLE",
        "credential": "LISW-CP, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17181",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017844",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Renee Williams, COMS
• Nickos Williams
• Willow Tree Wellness & Therapy Inc
• Daniel Wei Huen Wong, NP-C
• Kailee Glover Wood, PT, DPT
• Sarah Amelia Wyrick, D.M.D.
• Michael E Zeager, MD
• Courtney Weber Zemaitis

• Clinical Social Worker in Taylors, SC
• Providers in Taylors, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.