Carlton D. Mitchell II

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

103K00000X Issued in OK

Practice address

1919 Elk
Duncan, OK 73533

Phone

(580) 595-7000

NPI assigned

Nov 30, 2011

Last updated

Nov 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Chip D. Mitchell II Other name

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1578830873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 BATES DRIVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "73533",
            "telephone_number": "580-736-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 ELK",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "73533",
            "telephone_number": "580-595-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CARLTON",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OK",
            "license": "103K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIP",
            "last_name": "MITCHELL",
            "middle_name": "D.",
            "prefix": "MR.",
            "suffix": "II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Byron Ronald Miller, MD
• Didric Antonio Miller
• Douglas C Miller, MD
• Lora Beth Minson, ARNP
• Nicollette Ann Minyard
• Bradley John Montgomery, D.C.
• Jenny Lyn Moore
• Jerry Don Moore, LBP
• Stephanie Moore
• William Moore, LPC

• School Social Worker in Duncan, OK
• Providers in Duncan, OK by specialty
• School Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.