Provider Demographics
NPI:1528205184
Name:MITCHELL, DANA SHARMON (LCSW)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:SHARMON
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 YOSEMITE TRL
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-7514
Mailing Address - Country:US
Mailing Address - Phone:214-794-9084
Mailing Address - Fax:972-289-9649
Practice Address - Street 1:824 YOSEMITE TRL
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-7514
Practice Address - Country:US
Practice Address - Phone:214-794-9084
Practice Address - Fax:972-289-9649
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-19
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX142921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical