Active NPI
Mattia Brianna Mitchell, LCSWA
- Social Worker
- Salisbury, NC
National Provider Identifier
1942034681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SC61690577
- Practice address
- 1400 N Main St
Salisbury, NC 28144-3722 - Phone
- (919) 610-6523
- Fax
- (800) 696-6856
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P021206 | NC | |
| Social Worker | 104100000X | SC61690577 | WA | Primary |
Addresses
Primary practice location
1400 N Main St
Salisbury, NC 28144-3722
Mailing address
1400 N Main St
Salisbury, NC 28144-3722
Phone (919) 610-6523
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 |
|---|---|---|---|
| SC61690577 | WA | MD | Social Worker |
| P021206 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1942034681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N MAIN ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281443722",
"telephone_number": "919-610-6523",
"fax_number": "800-696-6856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N MAIN ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281443722",
"telephone_number": "919-610-6523",
"fax_number": "800-696-6856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MATTIA",
"middle_name": "BRIANNA",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P021206",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC61690577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.