TIMOTHY WILBUR MITCHELL JR. (NPI# 1629584578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629584578 |
| Entity Type | Individual |
| Full Name | TIMOTHY WILBUR MITCHELL JR. |
| Credential | LCSWA |
| Practice Address |
313 Clifton St Greenville NC 27858-5008 |
| Practice Telephone | 2523530100 |
| Practice Fax Number | 2523648117 |
| Mailing Telephone | 2523530100 |
| Mailing Fax Number | 2523648117 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P012051 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972806644 | Timothy W Mitchell | Physical Therapist | 2320 County Road 25, Bloomindale, OH 43910 | 2010-12-17 |
| 1477648764 | Timothy G Mitchell | Pharmacist | 1000 S Neosho Blvd, Neosho, MO 64850 | 2006-10-04 |
| 1841208519 | Timothy A Mitchell | Oral & Maxillofacial Surgery | 27 Brentwood Rd, Cape Elizabeth, ME 04107-2224 | 2006-08-04 |
| 1457677627 | Timothy Mitchell | Obstetrics & Gynecology | 2525 Ne 139th St Ste 270, Vancouver, WA 98686-2719 | 2010-04-13 |
| 1518995315 | Timothy Mitchell | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2006-06-29 |
| 1437126802 | Timothy A Mitchell | Psychiatry & Neurology | 859 Willamette St Ste 330, Eugene, OR 97401 | 2006-03-03 |
| Street Address |
313 CLIFTON ST |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255530416 | Dove Personal Care Services, LLC | Community/Behavioral Health | 313 Clifton St, Suite F, Greenville, NC 27858-5008 | 2007-07-17 |
| 1528593605 | Princess Norville | Counselor | 313 Clifton St, Greenville, NC 27858-5008 | 2017-04-26 |
| 1104359074 | Melanie Arthur Brinson | Counselor | 313 Clifton St, Greenville, NC 27858-5008 | 2017-04-07 |
| 1821441460 | Shavonne N Harrell | Social Worker | 313 Clifton St, Greenville, NC 27858-5008 | 2016-07-19 |
| 1760888648 | Clyde Harold Paul IIi | Counselor | 313 Clifton St, Greenville, NC 27858-5008 | 2014-11-05 |
| 1558773796 | Jacqueline Cox | Social Worker | 313 Clifton St, Greenville, NC 27858-5008 | 2014-05-22 |
| 1740692128 | Amy Moore | Social Worker | 313 Clifton St, Greenville, NC 27858-5008 | 2014-05-20 |
| 1326387085 | Christina Leigh Moler | Psychologist | 313 Clifton St, Greenville, NC 27858-5008 | 2013-01-31 |
| 1316200991 | Dixon Social Interactive Services, Inc. | Community/Behavioral Health | 313 Clifton St, Greenville, NC 27858-5008 | 2012-06-19 |
| 1710240452 | Alicia Danalle Phillips | Social Worker | 313 Clifton St, Greenville, NC 27858-5008 | 2012-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1710596812 | Kiera Clemmons | Social Worker | 1611 Sandstone Ct, Greenville, NC 27834-0377 | 2020-07-24 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1346870698 | From The Ground Up Wellness Center, LLC | Social Worker | 31 Smith Ave Unit 3, Greenville, RI 02828-1730 | 2020-01-24 |
| 1790324580 | Margaret Vester | Social Worker | 1502 E 4th St, Greenville, NC 27858-2609 | 2019-12-27 |
| 1003467267 | Martrell Denise Kelly John | Social Worker | 250 Commonwealth Dr, Greenville, SC 29615-4846 | 2019-09-27 |
| 1336790633 | Jenna Bonnell Canterbury | Social Worker | 926 Cleveland St Apt 4208, Greenville, SC 29601-4651 | 2019-09-27 |
| 1386294361 | Desirae Rivers | Social Worker | 132 Chandler Dr Apt B, Greenville, NC 27834-6075 | 2019-09-12 |
| 1770048365 | The Soar Firm, LLC | Social Worker | 2320 E North St Ste Gg8, Greenville, SC 29607-1247 | 2019-02-07 |
| 1447733068 | Kerri Lanzieri | Social Worker | 562 Putnam Pike, Greenville, RI 02828-2126 | 2018-09-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
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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.