Teresa Danielle Mitchem, MS is a
Case Management based in Maitland, Florida. Teresa Danielle Mitchem is licensed to practice in Florida (license number 100523) and her current practice location is
414 Lake Howell Rd, Maitland, Florida. She can be reached at her office (for appointments etc.) via phone at
(407) 637-2633.
NPI number for Teresa Danielle Mitchem is 1225385602 and her current mailing address is 414 Lake Howell Rd, Maitland, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225385602.
Healthcare Provider's Profile
| Full Name | Teresa Danielle Mitchem |
|---|
| Gender | Female |
|---|
| Speciality | Case Management |
|---|
| Location | 414 Lake Howell Rd, Maitland, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225385602
- Provider Enumeration Date: 08/05/2012
- Last Update Date: 09/09/2022
Medical Identifiers
Medical identifiers for Teresa Danielle Mitchem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225385602 | NPI | - | NPPES |
| 105479600 | Medicaid | FL | |
| 013510800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | 100523 (Florida) | 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. Teresa Danielle Mitchem 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 |
|---|
Teresa Danielle Mitchem, MS
414 Lake Howell Rd,
Maitland, FL 32751-5900
Ph: (407) 637-2633 | Teresa Danielle Mitchem, MS
414 Lake Howell Rd,
Maitland, FL 32751-5900
Ph: (407) 637-2633 |
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