Active NPI
James Mitchell
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1730205683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004899
- Practice address
- 6523 Lindenwood PL
Saint Louis, MO 63109-1221 - Phone
- (314) 583-0549
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004899 | MO | Primary |
Addresses
Primary practice location
6523 Lindenwood PL
Saint Louis, MO 63109-1221
Mailing address
6523 Lindenwood PL
Saint Louis, MO 63109-1221
Phone (314) 583-0549
Other practice location 1
1 Jefferson Barracks Dr Bldg 51
Saint Louis, MO 63125-4181
Phone (314) 652-4100 ext. 63439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 498872613 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004899 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1730205683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6523 LINDENWOOD PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091221",
"telephone_number": "314-583-0549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6523 LINDENWOOD PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091221",
"telephone_number": "314-583-0549"
}
],
"practiceLocations": [
{
"address_1": "1 Jefferson Barracks Dr Bldg 51",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631254181",
"country_code": "US",
"telephone_number": "314-652-4100 x63439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "004899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "498872613",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.