Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689706889 Individual Practitioner Female Practitioner

Rose Mitchell , LCSW

Counselor - Professional • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Rose Mitchell, LCSW is a registered healthcare professional specializing in Counselor - Professional in Modesto, CA. Practice services are available at 251 E HACKETT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

251 E Hackett Rd

Modesto, CA 953589415

Telephone 2095582848
Fax 2095581075
Associated Practice Facility / Clinic
🏢 Center For Human Services Facility NPI 1366653883

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
265 Specialists

Practicing in Modesto, CA (4040 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CA LCS18764

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Theppharack Sounthala , MSW

Social Worker - Clinical

NPI 1083745780

Master of Social Work

Gabriela Munguia

Social Worker - Clinical

NPI 1174839252
NPI 1215118013
Sharon Basaldua1

Counselor - Mental Health

NPI 1245363464
Maelena Smith

Case Manager/Care Coordinator

NPI 1316071988
Maisy Avila , CAARR

Counselor - Addiction (Substance Use Disorder)

NPI 1467576033

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 251 E HACKETT RD, MODESTO, CA 953589415 (Tel: 2095582848)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1712 GROVETON WAY, MODESTO, CA 953551904 (Tel: 2095582848)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROSE MITCHELL, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #LCS18764 in CA)

🟢
Initial NPI Registration & Enumeration March 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689706889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1712 Groveton Way

Modesto, CA 953551904

Phone: 2095582848

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.