MARK ANTHONY MITCHELL MSW
NPI 1053364307
Social Worker in Waterford, MI
About Mark Anthony Mitchell Msw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK ANTHONY MITCHELL MSW (NPI 1053364307) is an individual social worker in Waterford, Michigan, licensed in Michigan (6801084841) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Anthony Mitchell Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mark Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, MI 48307
- Reassigned Medicare billing, Michigan enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Mitchell's NPI number?
The NPI number for Mark Mitchell is 1053364307. It was assigned to this individual provider in the NPPES registry on May 18, 2006.
Where is Mark Mitchell located?
Mark Mitchell practices at 279 Summit Dr, Waterford, MI 48328. The listed phone number is (248) 745-4900.
What is Mark Mitchell's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Mark Mitchell enrolled in Medicare?
Yes. Mark Mitchell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mark Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mitchell reassigns Medicare benefits to Rochester Evidence-Based Psychotherapy Clinic, PLLC (Rochester, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Mitchell accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Mark Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mark Mitchell was last updated on May 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mark Anthony Mitchell, MSW · NPI 1053364307
Social Worker provider in Waterford, Michigan. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1053364307 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 6801084841 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 279 SUMMIT DR, Waterford, MI 48328-3364
- **Phone:** (248) 745-4900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Rochester Evidence-Based Psychotherapy Clinic, PLLC (NPI 1326580432, Rochester, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** May 16, 2008
- **Other identifiers:** Medicare PIN 0N76300 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1053364307) · Data from the CMS NPPES public registry.