Patricia A. Mitzel, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

073017-1 Issued in NY

Practice address

43 Duncan St
Warsaw, NY 14569-1017

Phone

(585) 786-8788

Fax

(585) 786-8780

NPI assigned

Dec 8, 2006

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

Other identifiers 1

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1669531380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 DUNCAN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691017",
            "telephone_number": "585-786-8788",
            "fax_number": "585-786-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 DUNCAN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691017",
            "telephone_number": "585-786-8788",
            "fax_number": "585-786-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITZEL",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "073017-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00073017-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Warsaw, NY
• Providers in Warsaw, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.