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General NPI Number Information
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NPI Number | 1881954527
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Entity Type | Individual
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Provider Name | JENISE MITCHELL-WILLIAMS LCSW, LISW- SP
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Gender | Female
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Dates
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Enumeration Date | 05/28/2012
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 6190 GIRBY RD APT 2921
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City | MOBILE
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State | AL
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Zip | 36693-3394
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Country | US
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Telephone | 404-308-6907
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Fax |
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Provider Business Mailing Address
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Address Line | 6190 GIRBY RD APT 2921
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City | MOBILE
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State | AL
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Zip | 36693-3394
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Country | US
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Telephone | 404-308-6907
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW005677
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 18273
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5373C
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW005690
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License Number State | GA
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