MR. GEORGE GORDON MITCHELL II (NPI# 1356781355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356781355 |
Entity Type | Individual |
Full Name | MR. GEORGE GORDON MITCHELL II |
Credential | LCSW |
Practice Address |
100 Prison Rd Represa CA 95671-3000 |
Practice Telephone | 9169858610 |
Mailing Telephone | 9169858610 |
Enumeration Date | 2013-07-05 |
Last Update Date | 2013-07-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
28859 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477936474 | George Douglas Mitchell | Social Worker | 106 Mountain Place Drive, Mountain View, AR 72560-6800 | 2015-07-08 |
1205079753 | George Winston Mitchell | Counselor | 1621 N Dixie Hwy, Fort Lauderdale, FL 33305-3138 | 2009-04-14 |
1740487453 | George Edward Mitchell | Acupuncturist | 222 Oak Meadow Dr, Suite B, Los Gatos, CA 95032-4458 | 2007-06-27 |
1801005517 | George Hunt Mitchell | Specialist | 2639 Connecticut Ave Nw, Suite C-100, Washington, DC 20008-1537 | 2007-05-21 |
1619094133 | George T. Mitchell | Marriage & Family Therapist | 7300 36th Ct Se, Lacey, WA 98503-3994 | 2007-03-22 |
1659488237 | George E Mitchell | Radiology | Nantucket Cottage Hospital, Imaging Dept., 57 Prospect Street, Nantucket, MA 02554 | 2006-08-23 |
1669485967 | George Lewis Mitchell Jr. | Dentist | 819 Riverbend Dr., Ste. A, Gadsden, AL 35901-2556 | 2006-08-15 |
1538161658 | George D Mitchell | Internal Medicine | 6633 Telephone Rd, Ste 200, Ventura, CA 93003-5569 | 2005-06-01 |
1386938884 | George P Mitchell | Physician Assistant | 2300 Loveland Blvd, Port Charlotte, FL 33980-5716 | 2011-06-02 |
1164673000 | George Sieh Mitchell | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2008-10-09 |
Street Address |
100 PRISON RD |
City | REPRESA |
State | CA |
Zip Code | 95671-3000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730269929 | Kathryn Eilene Peters | Pharmacist | 100 Prison Rd, Represa, CA 95671-3000 | 2006-10-16 |
1043795875 | Marsha Evans | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-09-27 |
1528545738 | Abby Molinet | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-07-20 |
1053847665 | Jacqueline Daasch Caoile | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2017-05-03 |
1427509314 | Kathryn Manness | Social Worker | 100 Prison Rd, Represa, CA 95671-3000 | 2016-10-17 |
1124575717 | Juzelie Gomez | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2016-09-01 |
1336500412 | Alyssa Aguilar | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2016-03-16 |
1841674579 | Pembe Ethem | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2015-07-13 |
1326441627 | Suzanne Ladson | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-30 |
1740682228 | Nicole Thompson | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811207426 | Nicole Calma | Counselor | 100 Prison Road Sacramento State Prison, Represa, CA 95671 | 2010-10-15 |
1578737359 | Laura Beebe | Registered Nurse | 1 Prison Road, Csp Sacramento, Folsom, CA 95671 | 2008-04-14 |
1588661730 | Gregory Carl Tinloy | Dentist | 100 Prison Rd., Represa, CA 95671 | 2005-07-01 |
1174768972 | Timothea Greer Mcginley | Psychologist | 100 Prison Road, Csp Sacramento, Represa, CA 95671 | 2008-12-08 |
1275717340 | Harry Moran Singh Dhesi | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-24 |
1235312463 | John Maciel Jr. | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
1730362930 | Dennis Rulon Fairbourn | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
1194070219 | Regina White | Social Worker | Csp Sacramento Mhsds Regina White, 100 Prison Road, Represa, CA 95671-0001 | 2012-07-14 |
1306174933 | Dudley Atkinson | Social Worker | Csp Sacramento, 100 Prison Road P.o., Represa, CA 95671-0001 | 2009-11-19 |
1932344280 | Amy Louise Holliday | Case Manager/Care Coordinator | California State Prison At Sacramento, 100 Prison Rd, Represa, CA 95671-0001 | 2008-12-15 |
Find all providers in zip 95671 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194070219 | Regina White | Social Worker | Csp Sacramento Mhsds Regina White, 100 Prison Road, Represa, CA 95671-0001 | 2012-07-14 |
1306174933 | Dudley Atkinson | Social Worker | Csp Sacramento, 100 Prison Road P.o., Represa, CA 95671-0001 | 2009-11-19 |
1427509314 | Kathryn Manness | Social Worker | 100 Prison Rd, Represa, CA 95671-3000 | 2016-10-17 |
1457763518 | Heather Waddle | Social Worker | 100 Prison Rd, Represa, CA 95671-3000 | 2014-05-23 |
1437586740 | Hien Nguyen | Social Worker | 100 Prison Rd, Represa, CA 95671-3000 | 2013-10-01 |
1184979205 | Violka Wanie | Social Worker | 100 Prison Rd, Represa, CA 95671-3000 | 2012-07-14 |
1225260250 | Valerie Jean Pearson-bryant | Social Worker | 100 Prison Rd, Represa, CA 95671-0012 | 2009-08-09 |
1184863599 | Susan Donell Raybourn | Social Worker | 100 Prison Rd, Represa, CA 95671-3000 | 2009-02-09 |
1790920015 | Patricia Spohn | Social Worker | 100 Prison Rd, Represa, CA 95671-3000 | 2008-12-16 |
1619128014 | Molly Josslyn Michau | Social Worker | 300 Prison Rd, Represa, CA 95671-3001 | 2008-10-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.