Healthcare Provider Details

I. General information

NPI: 1881878320
Provider Name (Legal Business Name): CATHERINE MCHUGH MITCHELL MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S 21ST ST
EASTON PA
18042-3835
US

IV. Provider business mailing address

372 LINCOLN ST
PHILLIPSBURG NJ
08865-3242
US

V. Phone/Fax

Practice location:
  • Phone: 610-559-8151
  • Fax:
Mailing address:
  • Phone: 908-387-0222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSL50724
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: