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NPI Code Detail

MEDICARE: JANET MITCHELL

MEDICARE: JANET MITCHELL
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 Worker

General Provider Information

NPI Number : 1235716143
Entity Type Code : Organization
Provider Name (Legal Business Name) : JANET MITCHELL
Provider Business Mailing Address
First Line : 609 AIRPORT NORTH OFFICE PARK
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-6706
Country : US
Telephone Number : 260-255-5085
Fax Number :
Provider Business Practice Location Address
First Line : 609 AIRPORT NORTH OFFICE PARK
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-6706
Country : US
Telephone Number : 260-255-5085
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JANET L MITCHELL
Credential : LCSW
Telephone Number : 260-255-5085
Provider Enumeration Date : 03/26/2021
Last Update Date : 02/06/2026

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