Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christian James Mixon

Individual provider Clinical Social Worker · NPI 1912510512

Christian James Mixon is a Clinical Social Worker in Beachwood, Ohio. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

24100 Chagrin Blvd
Beachwood, OH 44122-5535
Phone: (800) 642-4560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence S.2207257 (OH)

Record details

NPI number1912510512
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 25, 2020
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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