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

Lakisha Mitchell

Individual provider Clinical Social Worker · NPI 1306663463

Lakisha Mitchell is a Clinical Social Worker in South Holland, Illinois. Qualified in 2009, 17 years ago. Practices with Midwest Family and Community Resources PC, a 10-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

17148 Evans Dr
South Holland, IL 60473-3440
Phone: (708) 515-8366
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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 149.026627 (IL)

Record details

NPI number1306663463
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 20, 2024
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing addressPo Box 1439, South Holland, IL 60473-7439

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Midwest Family And Community Resources Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Holland