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Deactivated NPI 1992881577 Deactivated / Inactive NPI Female Practitioner

Lisa Elizabeth Mitchell , LCSW-R

Social Worker - Clinical • Commack, NY

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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, Lisa Mitchell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2006
NPI Deactivation Date April 18, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Lisa Mitchell, LCSW-R was a registered Social Worker - Clinical practicing in Commack, NY. Throughout an active medical career spanning 12 years, Lisa Mitchell provided care at the practice location at 159 INDIAN HEAD RD until profile deactivation on 2018-04-18.

Practice Location & Contact Primary Location

Practice Address

159 Indian Head Rd

Commack, NY 117252205

Telephone 6315434500
Fax 6315435162
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Commack, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.8 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
86 Specialists

Practicing in Commack, NY (30575 Statewide)

Telehealth Adoption Rate
11.6% 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 NY R051794

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

30 Associated Practitioners
Nadia Serrano

Occupational Therapist

NPI 1003705260
Patrick Jewels , MSPT

Physical Therapist - Cardiopulmonary

NPI 1033242805

Master of Science in Physical Therapy

Ralph Avellino , OTR

Occupational Therapist

NPI 1053480624

Occupational Therapist Registered

Bryan Ludin , OTR

Occupational Therapist

NPI 1053480632

Occupational Therapist Registered

Kathryn Carey , MS, CCC-SLP

Speech-Language Pathologist

NPI 1073690400

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1164592739

Registered Dietitian, CDN, Master of Science

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 April 18, 2018

Record deactivated on April 18, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 159 INDIAN HEAD RD, COMMACK, NY 117252205 (Tel: 6315434500)

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Updated Business Mailing Address July 08, 2007

Registered at 228 GROVE AVE, PATCHOGUE, NY 117724134 (Tel: 6312895549)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LISA MITCHELL, LCSW-R

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

Social Worker (License #R051794 in NY)

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Initial NPI Registration & Enumeration October 27, 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: 1992881577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: July 08, 2007
Deactivation Date: April 18, 2018

Mailing Address

228 Grove Ave

Patchogue, NY 117724134

Phone: 6312895549

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

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