Ildiko C Mitchell, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0298851 Issued in NY

Practice address

232 Main St
Binghamton, NY 13905-2610

Phone

(607) 729-9166

Fax

(607) 729-2062

NPI assigned

Aug 5, 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 4

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1780693176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MAIN ST",
            "address_2": "CATHOLIC CHARITIES OF BROOME CO",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052610",
            "telephone_number": "607-729-9166",
            "fax_number": "607-729-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052610",
            "telephone_number": "607-729-9166",
            "fax_number": "607-729-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ILDIKO",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0298851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELLO",
            "identifier": "041012000094",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COPHP",
            "identifier": "249793",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "618805",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI EMPIRE",
            "identifier": "7406323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Mion, LCSW-R
• Sobia Naz Mirza, M.D.
• Rachel Mischler, RD
• Omotoke O Missih, M.D.
• Bridget Misura, CRNA
• Carrie Lynn Mitrowitz, M.S CCC/SLP
• John I Mmaduabuchi
• Mehdi Habib Moalla
• Matin Moghaddas, DO
• Radharani Mohanty, M.D

• Clinical Social Worker in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.