MS. AUDREY A MITCHELL LCSW
NPI 1205231834
Social Worker - Clinical in Boise, ID

Q: What is Audrey Mitchell's NPI number?

The NPI number for Audrey Mitchell is 1205231834. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Q: What is Audrey Mitchell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Mitchell was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 24, 2014

3350 W AMERICANA TER STE 210B, BOISE, ID 83706(208) 402-6325 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Ms. Audrey A Mitchell Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AUDREY A MITCHELL LCSW (NPI 1205231834) is an individual clinical provider in Boise, Idaho, licensed in Idaho (34098) and active in the NPI registry since October 2014. She maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1205231834

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. AUDREY A MITCHELLCredential: LCSW

Location Address3350 W AMERICANA TER STE 210BBoise, ID 83706-2521

Mailing Address4863 S Greenacres WayBoise, ID 83709-5276 · (208) 713-5454 · Fax (208) 706-7059

Phone(208) 402-6325

Sole ProprietorYes

Enumeration DateOctober 24, 2014

Last NPPES UpdateJune 11, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1205231834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ID · 34098

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3350 W AMERICANA TER STE 210B, Boise, ID 83706

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Secondary Practice Location 1

Location 13525 E. Louise Dr., Suite 500Meridian, ID 83642 · Phone (208) 706-7053 · Fax (208) 706-7059

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACTIVE PURSUIT THERAPY LLC

Counselor (Professional)