Ms Christie L Mitchell, LCSW is a
Social Worker - Clinical based in Pekin, Illinois. Ms Christie L Mitchell is licensed to practice in Illinois (license number ) and her current practice location is
3248 Vandever Ave, Pekin, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 347-5522.
NPI number for Ms Christie L Mitchell is 1417912379 and her current mailing address is 3248 Vandever Ave, Pekin, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417912379.
Healthcare Provider's Profile
| Full Name | Ms Christie L Mitchell |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3248 Vandever Ave, Pekin, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417912379
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Christie L Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417912379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (Illinois) | 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. Ms Christie L Mitchell 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 |
|---|
Ms Christie L Mitchell, LCSW
3248 Vandever Ave,
Pekin, IL 61554
Ph: (309) 347-5522 | Ms Christie L Mitchell, LCSW
3248 Vandever Ave,
Pekin, IL 61554
Ph: (309) 347-5522 |
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