Amanda Emily Mitzel, LCSW is a
Social Worker - Clinical based in Fayetteville, Arkansas. Amanda Emily Mitzel is licensed to practice in Arkansas (license number 3666-C) and her current practice location is
130 E Poplar St Ste Candd, Fayetteville, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 435-6047.
NPI number for Amanda Emily Mitzel is 1922312164 and her current mailing address is 130 E Poplar St Ste C&d, Fayetteville, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922312164.
Healthcare Provider's Profile
| Full Name | Amanda Emily Mitzel |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 130 E Poplar St Ste Candd, Fayetteville, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922312164
- Provider Enumeration Date: 07/29/2010
- Last Update Date: 11/07/2022
Medical Identifiers
Medical identifiers for Amanda Emily Mitzel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922312164 | NPI | - | NPPES |
| 207147719 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (Arkansas) | Secondary |
| 104100000X | Social Worker | 2506-M (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3666-C (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Emily Mitzel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amanda Emily Mitzel, LCSW
130 E Poplar St Ste C&d,
Fayetteville, AR 72703-2532
Ph: (479) 435-6047 | Amanda Emily Mitzel, LCSW
130 E Poplar St Ste Candd,
Fayetteville, AR 72703-2532
Ph: (479) 435-6047 |
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