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

Mr. Jonathan Mitchelmore, LCSW

Individual provider Clinical Social Worker · NPI 1023398963

Mr. Jonathan Mitchelmore, LCSW is a Clinical Social Worker in San Mateo, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
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

100 S Ellsworth Ave Ste 802
San Mateo, CA 94401-3926
Phone: (650) 539-8042
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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 LCSW79318 (CA)

Record details

NPI number1023398963
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 23, 2011
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

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