KELLI SUSAN MITCHELL-WYATT (NPI# 1851925598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851925598 |
| Entity Type | Individual |
| Full Name | KELLI SUSAN MITCHELL-WYATT |
| Other Name | KELLI S MITCHELL |
| Credential | LMSW |
| Practice Address |
6113 Ten Mile Bridge Rd Fort Worth TX 76135-1335 |
| Practice Telephone | 8175856710 |
| Practice Fax Number | 6827075799 |
| Mailing Telephone | 8175856710 |
| Mailing Fax Number | 6827075799 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S26320 | TX | Behavioral Health & Social Service Providers |
| Street Address |
6113 TEN MILE BRIDGE RD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76135-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283501 | Sung Ryel Choi | Dentist | 6014 Azle Ave # 100, Lake Worth, TX 76135 | 2018-08-06 |
| 1750882056 | Kandess Klein | Licensed Vocational Nurse | 8825 Claiborn St, Lakeside, TX 76135 | 2018-02-22 |
| 1841791258 | Robyn Rich | Technician | 5104 Prestwick Drive, Fort Worth, TX 76135 | 2018-02-22 |
| 1598207821 | Young Men's Christian Association of Metropolitan Fort Worth | Health Educator | 5315 Boat Club Rd, Fort Worth, TX 76135 | 2016-11-17 |
| 1558818534 | Clearfork Academy Lp | Substance Abuse Rehabilitation Facility | 7820 Hanger Cut Off, Fort Worth, TX 76135 | 2016-09-07 |
| 1316300999 | National Vision, Inc. | Technician/Technologist | 6014 Azle Ave, Ste 200, Lake Worth, TX 76135 | 2016-04-01 |
| 1457647570 | Cynthia Rosaline Witt | Optometrist | 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 | 2011-06-27 |
| 1316134125 | Home Town Dental,pa | Dentist | 6332 Lake Worth, Lake Worth, TN 76135 | 2007-09-26 |
| 1790984789 | Jonathan Nicholas Valamides | Optometrist | 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 | 2007-07-11 |
| 1457570053 | Dawn Denise Ezelle | Occupational Therapy Assistant | 3400 Marine Drive, Fort Worth, TX 76135 | 2007-04-24 |
| Find all providers in zip 76135 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162574 | Adriane Denise Watters | Social Worker | 5648 Comer Dr, Fort Worth, TX 76134-2206 | 2020-10-21 |
| 1578187738 | Glendy Belle Calderon | Social Worker | 6300 Ridglea Pl # 425, Fort Worth, TX 76116-5704 | 2020-06-03 |
| 1265063705 | Melissa A White | Social Worker | 901 7th Ave Ste 4124, Fort Worth, TX 76104-2722 | 2020-02-03 |
| 1487285730 | Alejandra Z Solis | Social Worker | 801 7th Ave # 6100, Fort Worth, TX 76104-2733 | 2020-01-27 |
| 1942830880 | Daishai Logan | Social Worker | 6282 Truman Dr, Fort Worth, TX 76112-8042 | 2020-01-20 |
| 1073169652 | Katherine Aultman | Social Worker | 4939 Dexter Ave, Fort Worth, TX 76107-3741 | 2019-08-10 |
| 1346704707 | Jazmin D. Tucker | Social Worker | 1814 8th Ave Ste B7, Fort Worth, TX 76110-1354 | 2019-01-29 |
| 1871001651 | Melissa Kay Miller | Social Worker | 1300 W Rosedale St Ste 8, Fort Worth, TX 76104-2826 | 2018-01-16 |
| 1093238776 | April Dawn Grimes | Social Worker | 8553 N Beach St Ste 378, Fort Worth, TX 76244 | 2017-07-25 |
| 1366890352 | Charisse Huey | Social Worker | 8512 Cherry Bark Lane, Fort Worth, TX 76140 | 2016-05-31 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76135 |
Please comment or provide details below to improve the information on KELLI SUSAN MITCHELL-WYATT.
| 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.