Active NPI
Tonya Gail Mitchell, LMSW
- Social Worker
- Flowood, MS
National Provider Identifier
1942925227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M9728
- Practice address
- 499 Keywood Cir Ste a
Flowood, MS 39232-3001 - Phone
- (601) 387-0070
- NPI assigned
- Oct 10, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M9728 | MS | Primary |
Addresses
Primary practice location
499 Keywood Cir Ste a
Flowood, MS 39232-3001
Mailing address
546 Rusk Dr
Brandon, MS 39047-8069
Phone (662) 614-5697
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tobiascounseling@g1stmdb.com |
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 |
|---|---|---|---|
| M9728 | MS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1942925227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 RUSK DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390478069",
"telephone_number": "662-614-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 KEYWOOD CIR STE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392323001",
"telephone_number": "601-387-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "TONYA",
"middle_name": "GAIL",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "M9728",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tobiascounseling@g1stmdb.com",
"affiliation": "N",
"address_1": "499 Keywood Cir Ste A",
"city": "Flowood",
"state": "MS",
"country_code": "US",
"postal_code": "392323001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.