Laurie Etta Mitchell, LISW, ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I4415 Issued in OH

Practice address

1045 Summitt Dr
Middletown, OH 45042-3464

Phone

(513) 727-1987

Fax

(513) 727-0918

NPI assigned

Nov 18, 2009

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 OH

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Percy D Mitchell Jr M D and Associates LLCGroup PAC ID 9133226145, 4 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 and National Provider Directory roles.

• Percy D Mitchell Jr M D & Associates LLC

  • Mental Health Counselor
  • Middletown, OH
  • NPI 1316099674
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1962730622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 SUMMIT DRIVE",
            "city": "MIDDLTETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-727-1987",
            "fax_number": "513-727-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 SUMMITT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-727-1987",
            "fax_number": "513-727-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LAURIE",
        "middle_name": "ETTA",
        "credential": "LISW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I4415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle A Minette
• Jennifer Minor
• Monica L Minor, LPN
• Vinod Miriyala, DDS, BDS, MPH
• Jeffrey Albert Mitchell, DDS
• Percy David Mitchell Jr., MD
• Modern Ally Company, LLC
• Claire Modesto
• Gregory CJ Roger Moellering, MD
• Nicole Pappas Mollica, MSSA, LSW

• Social Worker in Middletown, OH
• Providers in Middletown, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.