Individual
DANIELLE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3651 FAU BLVD STE 400, BOCA RATON, FL 33431-6489
(833) 919-2797
Mailing address
231 MAZARIN ST, SPRINGFIELD, MA 01151-2118
(413) 388-5279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127830
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295
—
MA
05
—
1307576
—
MA
01
—
M18463
BLUE CROSS/BLUE SHIELD
—
Enumeration date
04/14/2011
Last updated
12/15/2024
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