Amy B Mitchell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011341 Issued in VA

Practice address

1901 Libbie Ave
Richmond, VA 23226-1808

Phone

(910) 742-9243

Fax

(888) 746-1787

NPI assigned

Nov 13, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA, IA, DC, WV4 enrollments

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 4

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pocahontas Memorial HospitalGroup PAC ID 9234100645, 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 and National Provider Directory roles.

• Pocahontas Memorial Hospital

  • Critical Access Hospital
  • Buckeye, WV
  • NPI 1609842251
  Medicare reassignment Care Compare group NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  Clinical, DC, VA

  Medicare reassignment NPD
• Pocahontas Memorial Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buckeye, WV
  • NPI 1821621632
  NPD
• Pocahontas Memorial Hospital

  • Ambulance
  • Buckeye, WV
  • NPI 1831394949
  NPD
• Alpha Healthcare Services and Solutions, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sterling, VA
  • NPI 1295393791

  Clinical

  NPD (past)

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1992340970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 DUNCAN RD",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "249249044",
            "telephone_number": "304-799-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 LIBBIE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261808",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013348",
            "country_code": "US",
            "telephone_number": "540-545-4147",
            "fax_number": "540-545-2044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 S Main St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641257",
            "country_code": "US",
            "telephone_number": "540-333-4457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AMY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "1901 Libbie Ave",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232261808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mandy Mirzaie, RD
• Andrew Misener, DC
• Chakradhar Mishra, M.D.
• Michael A Mistretta, M.D.
• Tawanna Chena Mitchell-Jones, LPC
• Andrea Mitchell, LCSW
• Bryon Mitchell, MA, LPC
• Devon Mitchell, MD
• Donna Mitchell, N.P.
• Ellen K Mitchell, M.D.

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.