MR. DOUGLAS HAIG MITCHELL JR. (NPI# 1528017175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528017175 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS HAIG MITCHELL JR. |
| Credential | LCSW |
| Practice Address |
650 E Indian School Rd Cs/122 Phoenix AZ 85012-1839 |
| Mailing Address |
566 E Grandview St Mesa AZ 85203-3657 |
| Practice Telephone | 6022775551 |
| Practice Fax Number | 6022226577 |
| Mailing Telephone | 6023611177 |
| Mailing Fax Number | 6022226577 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
10956 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LCSW | 10956 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144644394 | Douglas Mitchell | Counselor | 3507 N 25th Pl, 3507 N 25th Pl, Phoenix, AZ 85016-7429 | 2014-02-08 |
| 1992954705 | Douglas L. Mitchell | Counselor | 610 Elm Street, Ste. 212, San Carlos, CA 94070 | 2008-09-17 |
| 1891914586 | Douglas S Mitchell | Dentist | 2145 Central Ave, Alameda, CA 94501-2899 | 2007-04-24 |
| 1861573545 | Douglas Nathan Mitchell | Chiropractor | 111 Felton Dr, Rockmart, GA 30153-2013 | 2006-10-18 |
| 1083614481 | Douglas Mitchell | Hospitalist | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 | 2005-07-28 |
| 1780029389 | Douglas Mitchell | Massage Therapist | 139 S Main St, Nazareth, PA 18064-2016 | 2013-05-08 |
| 1063748440 | Douglas Roy Mitchell | Pathology | 200 Portland St, Columbia, MO 65201-6525 | 2009-10-20 |
| 1033443601 | Douglas Mitchell | Specialist | 2208 N Yellowood Ave, Broken Arrow, OK 74012-9102 | 2009-09-29 |
| 1922131606 | Douglas Mitchell | Physical Therapist | 25229 S Sun Lakes Blvd, Ste 119, Sun Lakes, AZ 85248-6453 | 2007-03-13 |
| 1255350823 | Douglas Mitchell | Pediatrics | 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 | 2006-07-18 |
| Street Address |
650 E INDIAN SCHOOL RD CS/122 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579213 | Carlos J Carrera | Psychiatry & Neurology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2005-06-27 |
| 1568063220 | Lucas Alan Bodine | Physical Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-07 |
| 1417558206 | Elijah Robles Lazo | Physical Medicine & Rehabilitation | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-06 |
| 1871191486 | Samantha Roberts | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-10-15 |
| 1760099667 | Dino Alihodzic | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-25 |
| 1659986768 | Jennica Lynne Failner | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-15 |
| 1568074557 | Danielle Marie Mcgraw | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-20 |
| 1841802055 | Courtney Loera | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-19 |
| 1659980613 | Nakia Andrea Willis | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
| 1487263430 | Lauren Larue Waznik | Dietitian, Registered | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| 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 |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1376141697 | Kristen Beuchat Alaniz | Social Worker | 2520 W Brookhart Way, Phoenix, AZ 85085-3725 | 2020-10-09 |
| 1780281659 | Robin Slavit | Social Worker | 5550 E Deer Valley Dr Apt 426, Phoenix, AZ 85054-5673 | 2020-10-05 |
| 1053934554 | Andrea Durand | Social Worker | 1918 W Bonanza Ln, Phoenix, AZ 85085-1727 | 2020-05-19 |
| 1841819125 | Hohokimel Thwajik Ki, LLC | Social Worker | 4114 N 28th St Apt 3005, Phoenix, AZ 85016-5779 | 2020-04-16 |
| 1104459973 | Ingrid Roxana Mejia | Social Worker | 1038 E Colter St, Phoenix, AZ 85014-2622 | 2020-02-19 |
| 1710533435 | Traci Andes | Social Worker | 8841 N 1st St Ste B, Phoenix, AZ 85020-2801 | 2019-08-18 |
| 1477107308 | Ralph Crudup Jr. | Social Worker | 6149 N 23rd Ave, Phoenix, AZ 85015-1821 | 2019-07-29 |
| 1255896593 | Cindy Eileen Penka-shack | Social Worker | 4531 E Danbury Rd, Phoenix, AZ 85032-2367 | 2019-01-31 |
| 1346723368 | Nathan Rehm | Social Worker | 3332 N 25th St, Phoenix, AZ 85016-7425 | 2018-09-14 |
| Find all providers in PHOENIX | ||||
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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.