Doretha - Mitchell-Levine, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R042782-1 Issued in NY

Practice address

25 West 86TH Street
4C
New York, NY 10024-5537

Phone

(646) 441-1598

NPI assigned

Feb 7, 2007

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

JGB Mental Health and Mental Retardation Services IncGroup PAC ID 1850349838, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JGB Mental Health & Mental Retardation Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1255345245
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952441214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255572",
            "telephone_number": "646-441-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WEST 86TH STREET",
            "address_2": "4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245537",
            "telephone_number": "646-441-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-LEVINE",
        "first_name": "DORETHA",
        "middle_name": "-",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R042782-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell J Mandel MDPC
• Mitchell J. Bloom, D.M.D., P.C.
• Mitchell Medical Group of New York PC
• Mitchell S. Levy, Psychologist, P.C.
• Mitchell V Sabbagh DMD PC (Aesthetic Denistry Of New York)
• Dennis Anthony Mitchell-Lewis, DDS
• Aaron Philip Mitchell, MD
• Alyssa Mitchell, DNP, WHNP-BC
• Ann Mitchell, RN, FNP
• Anthony Mitchell Jr.

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.