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

Mitchell John Chmelik, LCSW

Individual provider Clinical Social Worker · NPI 1043038433

Mitchell John Chmelik, LCSW is a Clinical Social Worker in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

913 NW Garden Valley Blvd
Roseburg, OR 97471-6523
Phone: (541) 440-1000
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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 L6881 (OR)

Record details

NPI number1043038433
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address120 Quincy Ave, Roseburg, OR 97471-4995

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