LAURIE ETTA MITCHELL (LISW, ACSW) – Social Worker, NPI 1962730622

LAURIE ETTA MITCHELL (LISW, ACSW) is a healthcare provider. based in Middletown, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW, ACSW. They hold a License No. I4415 (OH). The NPI Number for LAURIE ETTA MITCHELL (LISW, ACSW) is 1962730622

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE ETTA MITCHELL (LISW, ACSW)
NPI
1962730622
Phone
(513) 727-1987
Address
1045 SUMMITT DR
Enumeration Date
18 November 2009
Last Update Date
18 November 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
8820520471
Group Practice PAC ID
9133226145
Professional Enrollment ID
I20241021001829
Address ID
OH450423464MI1045XSQXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for LAURIE ETTA MITCHELL (LISW, ACSW)

  • 1045 SUMMITT DR

    MIDDLETOWN, OH 450423464

    Phone: (513) 727-1987

    Fax: (513) 727-0918

    Type: Location

  • 1045 SUMMIT DRIVE

    MIDDLTETOWN, OH 450423464

    Phone: (513) 727-1987

    Fax: (513) 727-0918

    Type: Mailing

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: 2024-10-21

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
I20241021001829IClinical Social WorkerOHTBD

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 45042)

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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: 9133226145View full group profile
NameSpecialtyState
Nurse PractitionerOH
P S Y C H I A T R YOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What is the standard ID for LAURIE ETTA MITCHELL (LISW, ACSW) in the U.S.?
In the U.S., LAURIE ETTA MITCHELL (LISW, ACSW) is identified by NPI 1962730622.
Does the public listing show LAURIE ETTA MITCHELL (LISW, ACSW) as active?
LAURIE ETTA MITCHELL (LISW, ACSW)'s NPI record reflects an active status in NPPES.
Which specialty label fits LAURIE ETTA MITCHELL (LISW, ACSW)?
NPPES ties LAURIE ETTA MITCHELL (LISW, ACSW) to Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to LAURIE ETTA MITCHELL (LISW, ACSW)?
LAURIE ETTA MITCHELL (LISW, ACSW) shows a connection to Middletown, Ohio in registry-derived data.
Why is information missing for LAURIE ETTA MITCHELL (LISW, ACSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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