DOMINIQUE MITCHELL (NPI# 1043749138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043749138 |
| Entity Type | Individual |
| Full Name | DOMINIQUE MITCHELL |
| Credential | MSW |
| Practice Address |
8325 Kelwood Ave Baton Rouge LA 70806-4804 |
| Mailing Address |
34900 Dearman Dr Denham Springs LA 70706-0765 |
| Practice Telephone | 2252395498 |
| Practice Fax Number | 2252395543 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1255681128 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735638 | Dominique Mitchell | Behavior Technician | 1510 Greenlawn Blvd, Round Rock, TX 78664-7072 | 2019-11-27 |
| 1457832958 | Dominique Gabryelle Mitchell | Occupational Therapist | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-23 |
| Street Address |
8325 KELWOOD AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831285469 | William Theriot | Nurse Anesthetist, Certified Registered | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2006-10-04 |
| 1760010342 | Cajun Bayou Health Care, LLC | Community/Behavioral Health | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2020-03-30 |
| 1992357214 | Floyd Christopher Kirksey Iv | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2019-07-16 |
| 1508423831 | Jade Shernice Turner | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2019-05-22 |
| 1629536149 | Derione Trenae Brown | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2019-03-04 |
| 1871065086 | Jacqueline Porter | Social Worker | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2018-12-28 |
| 1497263305 | Gretchen J Williams | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2018-01-12 |
| 1528572427 | Tiffany Hamilton | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2017-11-30 |
| 1154830859 | Naja Webb | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2017-09-25 |
| 1912416793 | Tarhonda Marshele London | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2017-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514231 | Keshia Nicole Roberson | Social Worker | 7424 Chairman Ave, Baton Rouge, LA 70817-5352 | 2020-10-01 |
| 1083228647 | Kacey Elizabeth Ardoin | Social Worker | 10202 Perkins Rowe Apt 3022, Baton Rouge, LA 70810-8203 | 2020-09-01 |
| 1609489368 | Taneia Mikelle Smith | Social Worker | 2888 Dougherty Dr Apt 55, Baton Rouge, LA 70805-7006 | 2020-08-24 |
| 1760018030 | Brelyn Howard | Social Worker | 2347 Horace St, Baton Rouge, LA 70808-1446 | 2020-03-19 |
| 1679049472 | Kayla Stewart | Social Worker | 2320 Drusilla Ln Ste A, Baton Rouge, LA 70809-1495 | 2018-10-18 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1871018028 | Bridget Trufant | Social Worker | 1200 S. Acadian Thwy, Baton Rouge, LA 70806 | 2017-08-09 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1265952873 | Lynn Persica Cannon | Social Worker | 923 Executive Park Ave Ste 12, Baton Rouge, LA 70806-2000 | 2017-06-24 |
| 1306375738 | Raven Turner | Social Worker | 1120 Spanish Town Rd, 108, Baton Rouge, LA 70802 | 2017-06-08 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.