Provider Demographics
NPI:1689331183
Name:MITCHELL, LEANNA RENEE (ASW)
Entity Type:Individual
Prefix:
First Name:LEANNA
Middle Name:RENEE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-2807
Mailing Address - Country:US
Mailing Address - Phone:530-245-7832
Mailing Address - Fax:530-225-2970
Practice Address - Street 1:43 HILLTOP DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-2807
Practice Address - Country:US
Practice Address - Phone:530-245-7832
Practice Address - Fax:530-225-2970
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical