Nicole Mitsuuchi

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

87218 Issued in CA

Practice address

19401 S Vermont Ave Ste A200
Torrance, CA 90502-4418

Phone

(310) 323-6887

Fax

(310) 436-8285

NPI assigned

Aug 26, 2015

Last updated

Dec 21, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1740657733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 S VERMONT AVE STE A200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905024418",
            "telephone_number": "310-323-6887",
            "fax_number": "310-436-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 S VERMONT AVE STE A200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905024418",
            "telephone_number": "310-323-6887",
            "fax_number": "310-436-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSUUCHI",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "87218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Mitchell, MSW
• Robyn J Mitchell, M.D.
• Rowena Mitchell
• Samantha Mitchell
• Stacey Mitchell
• Arun K Mittal, M.D.
• Raj Anand Mittal, M.D.
• Edward Mittleman, MD
• Marc G Mittleman, D.P.M.
• Mitzilyn Ela Physical Therapy Inc

• Clinical Social Worker in Torrance, CA
• Providers in Torrance, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.