Michael S Mitchell | New York, NY • PECOS Search

Michael S Mitchell

Social Worker

Behavioral Health & Social Service Providers

109 W 27th St Ste 8a, New York, NY 10001

(646) 801-4679 (646) 337-8297

PECOS Enrollment

Based on the most recent information from CMS, provider Michael S Mitchell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:56 PM.

Profile Details

Provider ID
1760699037
Provider Type
Individual
Full Name
Mitchell, Michael S
Credential
LCSW-R

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/17/2007
Last Updated
6/17/2018

Contact Information

Practice Location

109 W 27th St Ste 8a, New York, NY 10001

Unlisted Fax

Mailing Location

120 Bennett Ave, 5a, New York, NY 10033-2348

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 078080 New York