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NPI Code Detail

MEDICARE: MICHELLE MITCHELL LSW

MEDICARE:   MICHELLE  MITCHELL  LSW
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
11041C0700XClinical Social Worker34012526AIN

General Provider Information

NPI Number : 1861298796
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MITCHELL LSW
Provider Business Mailing Address
First Line : 8731 ARBORWAY CT APT 225
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-4905
Country : US
Telephone Number : 317-993-1759
Fax Number :
Provider Business Practice Location Address
First Line : 8731 ARBORWAY CT APT 225
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-4905
Country : US
Telephone Number : 317-993-1759
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2025
Last Update Date : 01/15/2026

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Directions to “ MICHELLE MITCHELL LSW” Practice Location

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