| Kenneth Carl Mitten, LCSW | |
|
6810 Crumpler Blvd, Suite 303, Olive Branch, MS 38654-1933 | |
| (901) 483-9548 | |
| (662) 890-0622 |
| Full Name | Kenneth Carl Mitten |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 6810 Crumpler Blvd, Olive Branch, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275847337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C6918 (Mississippi) | Primary |
| 1041C0700X | Social Worker - Clinical | 4333 (Tennessee) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Carl Mitten, LCSW 4057 Fairway View Cir W, Bartlett, TN 38135-9124 Ph: (901) 384-9732 | Kenneth Carl Mitten, LCSW 6810 Crumpler Blvd, Suite 303, Olive Branch, MS 38654-1933 Ph: (901) 483-9548 |
Tessica C. Boney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10282 Hyman Dr, Olive Branch, MS 38654 Phone: 662-210-0203 | |
Tricia Stephens Hopson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6855 Crumpler Blvd Ste 201, Olive Branch, MS 38654 Phone: 662-645-2238 | |
Mrs. Lisa Ann Smith, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1055 Upchurch Dr, Olive Branch, MS 38654 Phone: 901-603-1444 | |
Loreal Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 572, Olive Branch, MS 38654 Phone: 248-284-3229 | |
Latrice Fox Dillard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6920 Oak Forest Dr, Olive Branch, MS 38654 Phone: 662-892-2660 Fax: 662-200-5842 | |
Angela M Campbell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12805 Arbor Dr, Olive Branch, MS 38654 Phone: 901-229-3093 |