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

Ebony Mitchell

Individual provider Case Manager/Care Coordinator · NPI 1851884720

Ebony Mitchell is a Clinical Social Worker in Dayton, Ohio. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2018
Specialties on file
5

Practice location Address checks out

1020 Woodman Dr Ste 330
Dayton, OH 45432-1410
Phone: (937) 253-0606
Fax: (877) 938-3265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Case Manager/Care Coordinator Taxonomy 171M00000X
Social Worker Taxonomy 104100000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
School Social Worker Taxonomy 1041S0200X · Licence W.2000226 (OH)

Record details

NPI number1851884720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 14, 2018
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address2611 Wayne Ave, Dayton, OH 45420-1833

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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