Sarah Rose Mitchell, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.027466 Issued in IL

Practice address

4809 N Ravenswood Ave Unit 319a
Chicago, IL 60640-6648

Phone

(312) 584-3355

NPI assigned

May 17, 2022

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Emily Hanneman, LCSW PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1790320158
  Medicare reassignment NPD

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1689311961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 N RAVENSWOOD AVE UNIT 319A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406648",
            "telephone_number": "319-331-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 N RAVENSWOOD AVE UNIT 319A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406648",
            "telephone_number": "312-584-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Ariana Mitchell
• Octavia L. Mitchell
• Remington Mitchell, MA, LCPC
• Ryan Mitchell, M.D.
• Sarah Mitchell, MD
• Sharon Mitchell, N.P.
• Sydney Mitchell, LCSW
• Winston A Mitchell, MD
• Yvette Mitchell, LCSW
• Serena Mitchual, D.D.S.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.