Johnny Lee Mitchell Jr, LCSW is a
Social Worker - Clinical based in Glendale, California. Johnny Lee Mitchell Jr is licensed to practice in California (license number 102458) and his current practice location is
1560 E Chevy Chase Dr Ste 130, Glendale, California. He can be reached at his office (for appointments etc.) via phone at
(818) 240-0340.
NPI number for Johnny Lee Mitchell Jr is 1003313461 and his current mailing address is 1560 E Chevy Chase Dr Ste 130, Glendale, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003313461.
Healthcare Provider's Profile
| Full Name | Johnny Lee Mitchell Jr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1560 E Chevy Chase Dr Ste 130, Glendale, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003313461
- Provider Enumeration Date: 04/11/2018
- Last Update Date: 04/10/2025
Medical Identifiers
Medical identifiers for Johnny Lee Mitchell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003313461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | CSW006787 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 102458 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnny Lee Mitchell Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Johnny Lee Mitchell Jr, LCSW
1560 E Chevy Chase Dr Ste 130,
Glendale, CA 91206-4140
Ph: (818) 240-0340 | Johnny Lee Mitchell Jr, LCSW
1560 E Chevy Chase Dr Ste 130,
Glendale, CA 91206-4140
Ph: (818) 240-0340 |
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