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Deactivated NPI 1417021197 Deactivated / Inactive NPI Male Practitioner

Robert Cole Mitchell , LCSW

Social Worker - Clinical • Herrin, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Mitchell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2006
NPI Deactivation Date October 12, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Robert Mitchell, LCSW was a registered Social Worker - Clinical practicing in Herrin, IL. Throughout an active medical career spanning 16 years, Robert Mitchell provided care at the practice location at 1220 S PARK AVE until profile deactivation on 2022-10-12.

Practice Location & Contact Primary Location

Practice Address

1220 S Park Ave

Herrin, IL 629484128

Telephone 6189881757
Fax 6189881700
Associated Practice Facility / Clinic
🏢 Robert C. Mitchell Facility NPI 1053387258

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Herrin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.8 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
24 Specialists

Practicing in Herrin, IL (14000 Statewide)

Telehealth Adoption Rate
16.7% 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

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License IL 149-000011

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Kenneth Culton , LCSW

Social Worker - Clinical

NPI 1467640599

Licensed Clinical Social Worker

Daniel Marsh , LCPC

Counselor - Mental Health

NPI 1538598016

Licensed Clinical Professional Counselor

Sheila Beltz , LCSW

Social Worker - Clinical

NPI 1649344284

Licensed Clinical Social Worker

Gaia Mcvey , LCPC

Counselor - Mental Health

NPI 1740476910

Licensed Clinical Professional Counselor

Debbie Mitchell , LCPC

Counselor - Mental Health

NPI 1851465595

Licensed Clinical Professional Counselor

Dr. Carolyn Brandon , PhD, LCPC

Counselor - Mental Health

NPI 1952475659

Doctor of Philosophy (Ph.D.), Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 12, 2022

Record deactivated on October 12, 2022

NPI Profile Active July 16, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2010

Registered at 1220 S PARK AVE, HERRIN, IL 629484128 (Tel: 6189881757)

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Updated Business Mailing Address July 16, 2010

Registered at 1220 S PARK AVE, HERRIN, IL 629484128 (Tel: 6189881757)

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Provider Name / Credentials Updated July 16, 2010

Recorded as ROBERT MITCHELL, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2010

Social Worker (License #149-000011 in IL)

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Initial NPI Registration & Enumeration November 17, 2006

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: 1417021197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2006
Last Update: July 16, 2010
Deactivation Date: October 12, 2022

Mailing Address

1220 S Park Ave

Herrin, IL 629484128

Phone: 6189881757

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.