Clark Mitchell , LSW
Social Worker • Herrin, IL
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, Clark Mitchell has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Clark Mitchell, LSW was a registered Social Worker practicing in Herrin, IL. Throughout an active medical career spanning 8 years, Clark Mitchell provided care at the practice location at 3041 EDEN PARK DR until profile deactivation on 2023-03-29.
Practice Location & Contact Primary Location
3041 Eden Park Dr
Herrin, IL 629483717
Specialty Benchmarks & Practice Insights
Comparative analytics for Social Worker in Herrin, IL
Practicing in Herrin, IL (5960 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 104100000X
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 29, 2023
NPI status registered as active in NPPES database
Registered at 3041 EDEN PARK DR, HERRIN, IL 629483717 (Tel: 6186945175)
Registered at 3041 EDEN PARK DR, HERRIN, IL 629483717 (Tel: 6186945175)
Recorded as CLARK MITCHELL, LSW
Social Worker (License #150.015026 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3041 Eden Park Dr
Herrin, IL 629483717
Phone: 6186945175
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