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

Patricia Mixon

Individual provider Social Worker · NPI 1720652068

Patricia Mixon is a Clinical Social Worker in Carterville, Illinois. Qualified in 2020, 6 years ago. Practices with Cmc Healthcare LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
3

Practice location Address checks out

403 Municipal Dr
Carterville, IL 62918-2042
Phone: (855) 608-3561
Fax: (618) 956-9349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149028869 (IL)
Social Worker Taxonomy 104100000X · Licence 150.105149 (IL)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1720652068
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cmc Healthcare Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carterville