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NPI Code Detail

MEDICARE: ANDREA J. MITCHEL LSW,CDCA

MEDICARE:   ANDREA J. MITCHEL  LSW,CDCA
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
1104100000XSocial WorkerS.2106996OH
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.167428OH

General Provider Information

NPI Number : 1891289815
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA J. MITCHEL LSW,CDCA
Provider Business Mailing Address
First Line : 242 E MAIN ST
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-3414
Country : US
Telephone Number : 740-773-3272
Fax Number :
Provider Business Practice Location Address
First Line : 242 E MAIN ST
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-3414
Country : US
Telephone Number : 740-773-3272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2018
Last Update Date : 09/11/2025

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Directions to “ ANDREA J. MITCHEL LSW,CDCA” Practice Location

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