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NPI Code Detail

MEDICARE: SHAWNA ASHLEY MITCHELL LCSW

MEDICARE: SHAWNA ASHLEY MITCHELL LCSW
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 WorkerLC23217ME

General Provider Information

NPI Number : 1285494708
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNA ASHLEY MITCHELL LCSW
Provider Business Mailing Address
First Line : 1 VA CTR # 116A
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-6796
Country : US
Telephone Number : 207-542-4179
Fax Number :
Provider Business Practice Location Address
First Line : 1 VA CTR # 116A
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-6796
Country : US
Telephone Number : 207-542-4179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2024
Last Update Date : 03/25/2024

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Directions to “ SHAWNA ASHLEY MITCHELL LCSW” Practice Location

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