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

Mark Anthony Mitchell, MSW

Individual provider Social Worker · NPI 1053364307

Mark Anthony Mitchell, MSW is a Clinical Social Worker in Waterford, Michigan. Qualified in 1999, 27 years ago. Practices with Rochester Evidence-Based Psychotherapy Clinic PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

279 Summit Dr
Waterford, MI 48328-3364
Phone: (248) 745-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801084841 (MI)

Record details

NPI number1053364307
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESMay 16, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Rochester Evidence-Based Psychotherapy Clinic Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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