Mark Anthony Mitchell, MSW
NPI 1053364307ActiveIndividual· Social Worker· Waterford, MI
Social Worker (MSW) with Rochester Evidence-Based Psychotherapy Clinic PLLC, practicing in Waterford, Michigan. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1053364307 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW |
| Sole proprietor | No |
| NPI issued | May 18, 2006 |
| Last updated in NPPES | May 16, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 6801084841 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Rochester Evidence-Based Psychotherapy Clinic PLLCRochester Hills, MI · 3 clinicians
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All 72 social workers in Waterford · All social workers in Michigan