Provider Demographics
NPI:1922335173
Name:MITCHELL, DANIELLE L (LICSW)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:L
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:C
Other - Last Name:LINDLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05601-0647
Mailing Address - Country:US
Mailing Address - Phone:802-479-0012
Mailing Address - Fax:802-476-6445
Practice Address - Street 1:579 S BARRE RD
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-8107
Practice Address - Country:US
Practice Address - Phone:802-479-0012
Practice Address - Fax:802-476-6445
Is Sole Proprietor?:No
Enumeration Date:2009-11-09
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.00607471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical