MEDICARE: MR. NICHOLAS JAMES MITCHELL LMSW

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	2-01173	MI
2	1041C0700X	Clinical Social Worker	6801093133	MI
3	104100000X	Social Worker	6801093133	MI

General Provider Information

NPI Number	:	1003164245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NICHOLAS JAMES MITCHELL LMSW

Provider Business Mailing Address
First Line	:	622 E GRAND RIVER AVE
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48843-2329
Country	:	US
Telephone Number	:	517-548-0081
Fax Number	:

Provider Business Practice Location Address
First Line	:	10299 GRAND RIVER RD STE P
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48116-9558
Country	:	US
Telephone Number	:	810-225-9550
Fax Number	:

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

Provider Enumeration Date	:	08/20/2012
Last Update Date	:	10/16/2019

Similar Medicare Providers

1750387338 — DIABETIC MANAGEMENT EQUIPMENT
Practice Location Address:

10299 GRAND RIVER RD , STE M
BRIGHTON, MI
48116-9558

Practice Phone: 800-634-6709
Practice Fax:

1619097300 — MRS. COLLEEN MARY JEWELL MA LLP
Practice Location Address:

10299 GRAND RIVER RD STE I
BRIGHTON, MI
48116-9558

Practice Phone: 810-844-7300
Practice Fax:

1972015626 — MRS. LACEY SEMENOK LPC
Practice Location Address:

10299 GRAND RIVER RD STE P
BRIGHTON, MI
48116-9558

Practice Phone: 810-225-9550
Practice Fax:

1659968709 — DEBORAH MARIE SLEVIN MED, LPC
Practice Location Address:

10299 GRAND RIVER RD STE P
BRIGHTON, MI
48116-9558

Practice Phone: 810-295-1485
Practice Fax:

1306557632 — SARAH MELLENDORF LLMSW
Practice Location Address:

10299 GRAND RIVER RD STE P
BRIGHTON, MI
48116-9558

Practice Phone: 810-225-9550
Practice Fax: 810-225-9579

1760345995 — SLEVIN COUNSELING LLC
Practice Location Address:

10299 GRAND RIVER RD STE P
BRIGHTON, MI
48116-9558

Practice Phone: 810-295-1485
Practice Fax:

Directions to “ MR. NICHOLAS JAMES MITCHELL LMSW” 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.