Provider Demographics
NPI:1083983100
Name:MITCHELL, STEVEN (ASW)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27985 VIA DEL AGUA
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-7358
Mailing Address - Country:US
Mailing Address - Phone:949-716-4923
Mailing Address - Fax:949-716-4806
Practice Address - Street 1:27985 VIA DEL AGUA
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-7358
Practice Address - Country:US
Practice Address - Phone:949-716-4923
Practice Address - Fax:949-716-4806
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA201125610255171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator