Provider Demographics
NPI:1841618022
Name:MITCHELL, DONNA (LMSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 ROSEBERRY RD
Mailing Address - Street 2:
Mailing Address - City:MASCOT
Mailing Address - State:TN
Mailing Address - Zip Code:37806-1967
Mailing Address - Country:US
Mailing Address - Phone:865-254-6045
Mailing Address - Fax:
Practice Address - Street 1:2340 E MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-8240
Practice Address - Country:US
Practice Address - Phone:865-254-6045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000007798104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker