Healthcare Provider Details

I. General information

NPI: 1134868037
Provider Name (Legal Business Name): NORA MITCHELL MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 W TEMPLE ST FL 15
LOS ANGELES CA
90012-4111
US

IV. Provider business mailing address

7701 13TH AVE
BROOKLYN NY
11228-2413
US

V. Phone/Fax

Practice location:
  • Phone: 213-715-7786
  • Fax:
Mailing address:
  • Phone: 626-808-5303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW137491
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number112826
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: