MEDICARE: MS. LESLEY NICOLE MITCHELL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2014003441	MO
2	1041C0700X	Clinical Social Worker	3922	GA

General Provider Information

NPI Number	:	1336307891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESLEY NICOLE MITCHELL LCSW

Provider Business Mailing Address
First Line	:	650 SPYGLASS SUMMIT DR
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-2143
Country	:	US
Telephone Number	:	636-299-6376
Fax Number	:

Provider Business Practice Location Address
First Line	:	285 W WIEUCA RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-3321
Country	:	US
Telephone Number	:	636-299-6376
Fax Number	:	314-392-9764

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2008
Last Update Date	:	06/13/2025

Similar Medicare Providers

1427003599 — ATLANTA WOMEN'S MEDICAL CENTER
Practice Location Address:

235 W WIEUCA RD NE
ATLANTA, GA
30342-3321

Practice Phone: 404-257-0057
Practice Fax: 404-257-1245

1164629564 — LEILA L. HARTLEY, PH.D. & ASSOCIATES, INC.
Practice Location Address:

245 W WIEUCA RD NE , SUITE 150
ATLANTA, GA
30342-3321

Practice Phone: 404-812-9875
Practice Fax: 404-812-1979

1124311683 — ATLANTA ANESTHESIA ASSOCIATES
Practice Location Address:

235 W WIEUCA RD NE
ATLANTA, GA
30342-3321

Practice Phone: 856-356-4000
Practice Fax: 856-356-4038

1386998334 — PAMELA SCOTTO TREMBLAY LPC
Practice Location Address:

285 W WIEUCA RD NE STE 5441
ATLANTA, GA
30342-3321

Practice Phone: 678-559-9510
Practice Fax: 770-995-1959

1568865905 — JAZELLE WILSON
Practice Location Address:

285 W WIEUCA RD NE # 4357
ATLANTA, GA
30342-3321

Practice Phone: 470-387-9044
Practice Fax:

1215465836 — MS. GEORCOL L GOMILLION LPC
Practice Location Address:

285 W WIEUCA RD NE # 4260
ATLANTA, GA
30342-3321

Practice Phone: 404-852-0794
Practice Fax:

Directions to “ MS. LESLEY NICOLE MITCHELL LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.