Abby Lynne Mitchell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104.016560 Issued in IL

Practice address

1 Rodman Ave Woodson Health Clinic
Rock Island, IL 61299-0001

Phone

(309) 782-4818

NPI assigned

Dec 11, 2017

Last updated

Oct 7, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1659886877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RODMAN AVE WOODSON HEALTH CLINIC",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612990001",
            "telephone_number": "309-782-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RODMAN AVE WOODSON HEALTH CLINIC",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612990001",
            "telephone_number": "309-782-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ABBY",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "104.016560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Miller
• Beatrice Ann Minear, RN
• Michael Francis Miniter, M.D.
• Dana Mirocha, LMSW
• Anna Misener
• Ashley Mitchell
• Shawna Mitchell, LMSW
• Kylie Jess Monroe, MHP
• Liliana Montelongo, MA
• Kristina Marie Montez, D.C.

• Clinical Social Worker in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.