MRS. KATIE ANN MITCHELL (MSW, QMHP) – Social Worker, NPI 1497274450

MRS. KATIE ANN MITCHELL (MSW, QMHP) is a healthcare provider. based in Dixon, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, QMHP. The NPI Number for MRS. KATIE ANN MITCHELL (MSW, QMHP) is 1497274450

Main info

Female
Sole Proprietor
11 Years Of Experience
Name
MRS. KATIE ANN MITCHELL (MSW, QMHP)
NPI
1497274450
Phone
(815) 284-6611
Address
325 IL ROUTE 2
Enumeration Date
11 September 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8155202303
Graduation Year
2015 (11 years ago)
PAC ID
2264848894
Group Practice PAC ID
3678869179
Professional Enrollment ID
I20210306000019
Address ID
IL611082265RO4835XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for MRS. KATIE ANN MITCHELL (MSW, QMHP)

  • 2, Ridge Trail / Mason-Dixon Trail, Warrington Township, York County, Pennsylvania, 17358, United States

    DIXON, IL 610219118

    Phone: (815) 284-6611

    Fax: (815) 284-6598

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210306000019IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678869179View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How do payers reference MRS. KATIE ANN MITCHELL (MSW, QMHP)?
For MRS. KATIE ANN MITCHELL (MSW, QMHP), use NPI 1497274450 as the unique 10-digit identifier.
Would MRS. KATIE ANN MITCHELL (MSW, QMHP) appear as active to a payer?
You can treat MRS. KATIE ANN MITCHELL (MSW, QMHP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. KATIE ANN MITCHELL (MSW, QMHP)?
MRS. KATIE ANN MITCHELL (MSW, QMHP) is associated with Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is MRS. KATIE ANN MITCHELL (MSW, QMHP) registered?
Use Dixon, Illinois as the headline location for MRS. KATIE ANN MITCHELL (MSW, QMHP) here.
Does MRS. KATIE ANN MITCHELL (MSW, QMHP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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