Provider Demographics
NPI:1801233416
Name:MITCHELL, ARLENE N (MSW, LSW)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:N
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:MRS
Other - First Name:ARLENE
Other - Middle Name:N
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:1451 VAN HOUTEN AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2432
Mailing Address - Country:US
Mailing Address - Phone:973-473-2775
Mailing Address - Fax:973-473-3625
Practice Address - Street 1:1451 VAN HOUTEN AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2432
Practice Address - Country:US
Practice Address - Phone:973-473-2775
Practice Address - Fax:973-473-3625
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL056909001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical