Brandy Renise Mitchel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2380-C Issued in AR

Practice address

212 S Lincoln St Ste a
Lowell, AR 72745-9722

Phone

(479) 770-0744

Fax

(479) 770-0776

NPI assigned

Aug 29, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1821246067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 2109",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72811",
            "telephone_number": "479-967-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S LINCOLN ST STE A",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459722",
            "telephone_number": "479-770-0744",
            "fax_number": "479-770-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEL",
        "first_name": "BRANDY",
        "middle_name": "RENISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2380-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228170719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Associates of Northwest Arkansas PA
• Derek Messmer, PD
• Metheny Health and Wellness, LLC
• Laurie A Miller, RN
• Mindful Harmony Counseling PLLC
• Temre Morgan
• Mountaincrest Rehab of Lowell
• Chelsi Musick, CRNA
• Lindsey Anne Myers, LCSW
• Laura Jeannine Neal, MSN, APRN, FNP-BC

• All providers in Lowell, AR
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.