Doctor Name: | PATRICK MITCHELL |
NPI Number: | 1366418873 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW R BCD |
License Number: | R0583761 |
Business Practice Address: | 41 Main Street Big Flats, NY - 14814 |
Business Phone Number: | 6075627380 |
Business Fax Number: | 6075627380 |
Mailing Address: | 41 Main Street, BIG FLATS |
State: | NY |
Postal Code: | 14814 |
Phone Number: | 6075627380 |
Fax Number: | 6075627380 |
NPI Enumeration Date: | 02/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R0583761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |