Deidra Ann Mitchell
Deidra Ann Mitchell is a Clinical Social Worker in Granville, New York. Qualified in 2011, 15 years ago. Practices as a sole proprietor.
- Years since qualifying
- 15
- In the registry since
- 2020
Practice location Address checks out
58 Quaker StGranville, NY 12832-1513
Phone: (518) 642-1051
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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 |
|---|
Record details
| NPI number | 1760097588 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 9, 2020 |
| Last updated in NPPES | September 9, 2020 |
| Certification date | August 13, 2020 |
| Mailing address | 525 McEachron Hill Rd, Argyle, NY 12809-3000 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Granville
-
Jennifer Powell, LCSW
58 Quaker St, Granville, NY 12832-1513 · (518) 642-1051