Melissa Bunnell Mitchell, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-3296 Issued in NM

Practice address

914 Baca St
Suite D
Santa Fe, NM 87505-0972

Phone

(505) 920-8868

NPI assigned

Mar 17, 2010

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 names 1

• Miss Melissa Lynn Bunnell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1982928123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BOSQUE LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875082231",
            "telephone_number": "505-920-8868",
            "fax_number": "505-466-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 BACA ST",
            "address_2": "SUITE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875050972",
            "telephone_number": "505-920-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MELISSA",
        "middle_name": "BUNNELL",
        "name_prefix": "Ms.",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-3296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BUNNELL",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "MSW, LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sue E Minturn, RN, CDE
• Nancy Joan Miquelon, LPCC
• Heather Kristen Miranda
• Mirdoh Health LLC
• Kim Eugene Mitchell
• Sarah Mitchell, LM CPM
• William Edgefield Mitchell Jr., MD
• Arianna Mladosich
• Mobile Medicine
• Natalie Moctezuma, M.S. CFY-SLP

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.