MS. Corenna Marie Mitcham, LCSW
MS. Corenna Marie Mitcham, LCSW is a Clinical Social Worker in Eureka, California. Qualified in 2006, 20 years ago. Practices with Karuk Tribe, an 11-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 20
- Licensed in
- CA
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
2200 Tydd StEureka, CA 95501
Phone: (707) 441-1624
Fax: (707) 441-1253
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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 LCSW26524 (CA) |
|---|---|
| Military Health Care Provider | Taxonomy 171000000X · Licence 26524 (CA) |
Record details
| NPI number | 1831471184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | September 13, 2011 |
| Last updated in NPPES | June 14, 2018 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Karuk Tribe — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |