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NPI Code Detail

MEDICARE: MS. RHONDA CAROL MITCHELL MSW, LCSW

MEDICARE: MS. RHONDA CAROL MITCHELL MSW, 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 WorkerC004572NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679593362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RHONDA CAROL MITCHELL MSW, LCSW
Provider Business Mailing Address
First Line : 205 JIM GRADY RD
Second Line :
City : MORGANTON
State : NC
Zip : 28655
Country : US
Telephone Number : 828-403-0421
Fax Number : 828-433-9130
Provider Business Practice Location Address
First Line : 301 E MEETING ST
Second Line :
City : MORGANTON
State : NC
Zip : 28655-3593
Country : US
Telephone Number : 828-437-3000
Fax Number : 828-437-4999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/16/2021

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