MARK ANTHONY MITCHELL (NPI# 1053364307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053364307 |
| Entity Type | Individual |
| Full Name | MARK ANTHONY MITCHELL |
| Credential | MSW |
| Practice Address |
279 Summit Dr Waterford MI 48328-3364 |
| Practice Telephone | 2487454900 |
| Mailing Telephone | 2487454900 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801084841 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336552462 | Mark Mitchell | Counselor | 119 E Center St Ste B6, Warsaw, IN 46580-2849 | 2014-06-05 |
| 1720267917 | Mark Mitchell | Counselor | 2945 S Brentwood Blvd, Saint Louis, MO 63144-2713 | 2007-10-24 |
| 1013107499 | Mark Anthony Mitchell | Military Health Care Provider | 1140 Kellum Loop Rd, #36, Jacksonville, NC 28546-3321 | 2007-07-31 |
| 1972729937 | Mark R Mitchell | Radiology | 2001 N. Solar Dr., Suite 135, Oxnard, CA 93036 | 2007-04-18 |
| 1194881177 | Mark T Mitchell | Dentist | 10 Orchard St, Walden, NY 12586-1802 | 2006-12-28 |
| 1679675185 | Mark Archer Mitchell | Dentist | 1941 S Ohio St, Salina, KS 67401-6602 | 2006-09-04 |
| 1003833633 | Mark Anthony Mitchell | Emergency Medicine | 6800 Broken Sound Pkwy Nw, Ste 150a, Boca Raton, FL 33487-5709 | 2006-07-17 |
| 1689634479 | Mark Edward Mitchell | Family Medicine | 2960 Tongass Avenue, Ketchikan, AK 99901-5742 | 2006-03-24 |
| 1225009020 | Mark Mitchell | Obstetrics & Gynecology | 110 Irving St Nw Rm 5b-18, Dept. of Ob/gyn, Washington, DC 20010-3017 | 2006-01-30 |
| 1386634343 | Mark Wayne Mitchell | Dentist | 6731 Madison St, New Port Richey, FL 34652-1928 | 2005-10-21 |
| Street Address |
279 SUMMIT DR |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376533 | Kiersten Gutherman | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-11-06 |
| 1316551427 | Doris Vernita Jenkins | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-09-04 |
| 1528689205 | Kimberly Aundrea Moore | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-05-04 |
| 1477182491 | Holly Richard | Registered Nurse | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-04-02 |
| 1437784014 | Diana L Tige | Community Health Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-03-04 |
| 1063046928 | Amy Stern | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-28 |
| 1225661382 | Keith Albert Robinson | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-18 |
| 1326671660 | Kathy Sue Barber | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-14 |
| 1023641388 | Deundra Denise Fuller | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-14 |
| 1336772862 | Joshua Andrew Blanden | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| 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 |
|---|---|---|---|---|
| 1740748425 | Kelli Wencel | Social Worker | 4125 Baybrook Dr, Waterford, MI 48329-3876 | 2019-03-12 |
| 1396234365 | Kim Diane Brown | Social Worker | 7000 Villa Dr Apt 8, Waterford, MI 48327-4032 | 2018-05-06 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1427404482 | Carmen Sue Wisniewski | Social Worker | 2805 Pontiac Lake Rd, Waterford, MI 48328-2680 | 2016-05-09 |
| 1003288820 | Kiley J Young | Social Worker | 11 Boston Post Rd, Waterford, CT 06385-2401 | 2015-10-21 |
| 1366835688 | Cheri Hope Pierce | Social Worker | 7045 Reed Dr, Waterford, MI 48327-1580 | 2015-03-11 |
| 1992132658 | Laclinda Bahea Duncan | Social Worker | 1760 Crescent Lake Road #220, Waterford, MI 48327 | 2013-09-26 |
| 1790126357 | Raquel Marie Coulter | Social Worker | 6372 Dellwood Dr, Waterford, MI 48329-3128 | 2013-07-11 |
| Find all providers in WATERFORD | ||||
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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.