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 33 days ago.

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