Active NPI
Rita M Mitcheff, LCSW
- Clinical Social Worker
- Mishawaka, IN
National Provider Identifier
1770571697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005021A
- Practice address
- 1411 Lincolnway W
Mishawaka, IN 46544-1626 - Phone
- (574) 256-2255
- Fax
- (574) 257-1295
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 34005021A | IN | Primary |
Addresses
Primary practice location
1411 Lincolnway W
Mishawaka, IN 46544-1626
Mailing address
611 Lincolnway E
South Bend, IN 46601-3220
Phone (574) 232-2255
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2328864 | Other | IN | CIGNA |
| 000000365161 | Other | IN | UNICARE |
| 000000365161 | Other | IN | ANTHEM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005021A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Children's Center of Counseling and Development Services Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- South Bend, IN
- NPI 1184612137
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1770571697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 LINCOLNWAY E",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466013220",
"telephone_number": "574-232-2255",
"fax_number": "574-232-8968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 LINCOLNWAY W",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465441626",
"telephone_number": "574-256-2255",
"fax_number": "574-257-1295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHEFF",
"first_name": "RITA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005021A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2328864",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "000000365161",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000365161",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
- Mishawaka Osteopathic Clinic
- Mishawaka RCF LP (Silver Birch of Mishawaka)
- Mishawaka Rehab LLC
- Mishawaka Sleep Inc (Koala Center for Sleep & TMJ Disorders - IN3)
- Michael Richard Mitcheff, PSY.D.
- Airiana Mitchell
- Sacha Lynn Mitchell
- Sonal Dhuper Mittal, MD
- MJ Counseling LLC
- Mobileradiology.Org LLC (Source Diagnostics of Indiana)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.