Thomas Pollard Mitchell in St Augustine - Clinical
Thomas Pollard Mitchell - NPI 1205804192
Thomas Pollard Mitchell is a Clinical in St Augustine, Florida. Thomas Pollard Mitchell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas Pollard Mitchell is 1205804192. The last update date is 2012-08-13.
Thomas Pollard Mitchell's current location address is 21 Sandpiper Dr, St Augustine, Florida. You can contact this provider via phone number 9144757204 and fax number 9044611587. The mailing address for Thomas Pollard Mitchell is 21 Sandpiper Dr, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Pollard Mitchell |
|---|---|
| Address | 21 Sandpiper Dr, St Augustine, Florida |
| Phone Number | 9144757204 |
| Fax Number | 9044611587 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1205804192 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2012-08-13 |
Provider Mailing Address Detail
| Address | 21 Sandpiper Dr |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320806987 |
| Phone Number | 9144757204 |
| Fax Number | 9044611587 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW8040 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Thomas Pollard Mitchell by the Centers for Medicare & Medicaid Services?
The Thomas Pollard Mitchell has been assigned the NPI (National Provider Identifier) 1205804192. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Thomas Pollard Mitchell located?
The Thomas Pollard Mitchell is located at 21 Sandpiper Dr, St Augustine, FL 320806987.
What is Thomas Pollard Mitchell's area of expertise and its corresponding taxonomy classification?
The Thomas Pollard Mitchell's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205804192 to Thomas Pollard Mitchell?
The Centers for Medicare & Medicaid Services originally issued the 1205804192 to Thomas Pollard Mitchell on 2006-03-08.
As of what date was the information regarding Thomas Pollard Mitchell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Thomas Pollard Mitchell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-08-13.
NPI Number: 1063415297
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