MRS. CHRISTINA MARIE MITCHAM LMSW
NPI 1285939934
Social Worker in Grand Rapids, MI

Q: What is Christina Mitcham's NPI number?

The NPI number for Christina Mitcham is 1285939934. It was assigned to this individual provider in the NPPES registry on January 11, 2011. The provider is also known as Mrs. Tina Marie Mitcham Lmsw.

Q: What is Christina Mitcham's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Christina Mitcham was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 January 11, 2011PECOS Enrolled

40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 456-1443(616) 732-6392 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Christina Marie Mitcham Lmsw NPPES

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

MRS. CHRISTINA MARIE MITCHAM LMSW (NPI 1285939934) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801088032) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285939934

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. CHRISTINA MARIE MITCHAMCredential: LMSW

Location Address40 JEFFERSON AVE SEGrand Rapids, MI 49503-4304

Mailing Address40 Jefferson Ave SeGrand Rapids, MI 49503-4304 · (616) 456-1443 · Fax (616) 732-6392

Phone(616) 456-1443

Fax(616) 732-6392

Sole ProprietorYes

Enumeration DateJanuary 11, 2011

✔ NPI 1285939934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801088032

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

40 JEFFERSON AVE SE, Grand Rapids, MI 49503

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Other Names 1

Other Name (5)Mrs. Tina Marie Mitcham Lmsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Christina Marie Mitcham Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. MARIAN EVELYN LILLY LPC

Counselor (Mental Health)