MS. SUSAN A. MITCHELL (NPI# 1710965447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710965447 |
| Entity Type | Individual |
| Full Name | MS. SUSAN A. MITCHELL |
| Credential | LCSW |
| Practice Address |
5965 S 900 E Ste 240 Salt Lake City UT 84121-1720 |
| Mailing Address |
3051 W Maple Loop Dr Ste 210 Lehi UT 84043-4602 |
| Practice Telephone | 8012637231 |
| Mailing Telephone | 8012637231 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2016-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 2662563501 | UT | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2662563501 | UT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2662563501 | UT | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2662563501 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | CHAMPUS | 94293834B | 01 |
| UT | RAILROAD MEDICARE | 002200233 | 01 |
| UT | DESERET MUTUAL | 262038 | 01 |
| UT | EDUCATORS MUTUAL | 942938348MI2 | 01 |
| UT | INTERMTN. HEALTH CARE | 107001386101 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003378027 | Susan Jane Mitchell | Massage Therapist | 120 W State St Ste 5, Ithaca, NY 14850-5441 | 2019-04-01 |
| 1710445358 | Susan Mitchell | Dietitian, Registered | 1690 Walnut Ave, Winter Park, FL 32789-2036 | 2019-03-02 |
| 1588175160 | Susan Mitchell | Pedorthist | 400 E Red Bridge Rd Ste 305, Kansas City, MO 64131-4031 | 2017-10-23 |
| 1336513837 | Susan Mitchell | Speech-Language Pathologist | 2293 S Harwood Ave, Upper Darby, PA 19082-5405 | 2015-11-20 |
| 1912385360 | Susan Mitchell | Behavioral Analyst | 117 Park Rd, Ambler, PA 19002-1124 | 2015-05-18 |
| 1255649521 | Susan Annette Mitchell | Counselor | 24500 Center Ridge Rd Bldg 4, Suite 100, Westlake, OH 44145-5601 | 2010-09-20 |
| 1447402615 | Susan Lynn Mitchell | Occupational Therapist | 74 Orchard Lake Dr, Monroe, NY 10950-6507 | 2008-10-18 |
| 1235325424 | Susan Mitchell | Physical Therapist | 1783 Forest Dr # 307, Annapolis, MD 21401-4229 | 2007-09-20 |
| 1932221116 | Susan Elizabeth Mitchell | Specialist | 112 Alder Ave, Unit 10, Snohomish, WA 98290-3079 | 2007-04-06 |
| 1225047673 | Susan Diane Mitchell | Occupational Therapist | 8032 Summa Ave, Suite A, Baton Rouge, LA 70809-3478 | 2006-08-05 |
| Street Address |
5965 S 900 E STE 240 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194989228 | Samye Patricia Kline | Registered Nurse | 5965 S 900 E Ste 240, Salt Lake City, UT 84121-1720 | 2008-07-17 |
| 1386826030 | Amanda Ruth Brown | Social Worker | 5965 S 900 E Ste 240, Salt Lake City, UT 84121-1720 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| 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 |
|---|---|---|---|---|
| 1922606763 | Eric Jeffrey Hales | Social Worker | 352 S Denver St Ste 350, Salt Lake City, UT 84111-3059 | 2020-10-14 |
| 1700490067 | Open Arms Youth and Adult Services | Social Worker | 3007 S West Temple Ste J, Salt Lake City, UT 84115-6701 | 2020-09-03 |
| 1275147019 | Libby Rae Hughes | Social Worker | 1170 S Foothill Dr Apt 323, Salt Lake City, UT 84108-1955 | 2020-08-31 |
| 1881206910 | Christine Madden | Social Worker | 699 E South Temple Ste 300a, Salt Lake City, UT 84102-1188 | 2020-08-19 |
| 1003428566 | Laura Marie Baumgart | Social Worker | 1390 S 1100 E Ste 204, Salt Lake City, UT 84105-2463 | 2020-08-17 |
| 1851901193 | Angelique Colemere | Social Worker | 1399 S 700 E Ste 16, Salt Lake City, UT 84105-2170 | 2020-08-02 |
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1619586856 | Layne Gerry Daybell | Social Worker | 136 E South Temple, Salt Lake City, UT 84111-1180 | 2020-07-23 |
| 1043829328 | Christopher Wesley Pace | Social Worker | 2000 Circle of Hope Dr Rm 2840, Salt Lake City, UT 84112-5550 | 2020-07-23 |
| 1962028795 | Amy Lynn Horyna | Social Worker | 1950 Circle of Hope Dr Rm 2935, Salt Lake City, UT 84112-5500 | 2020-06-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
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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.