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LAKISHA MITCHELL
NPI 1306663463
Social Worker - Clinical in South Holland, IL

Active since September 20, 2024PECOS EnrolledAccepts Medicare Assignment
17148 EVANS DR, SOUTH HOLLAND, IL 60473(708) 515-8366 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lakisha Mitchell NPPES

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

LAKISHA MITCHELL (NPI 1306663463) is an individual clinical provider in South Holland, Illinois, licensed in Illinois (149.026627) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1306663463
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAKISHA MITCHELL
Location Address17148 EVANS DRSouth Holland, IL 60473-3440
Mailing AddressPo Box 1439South Holland, IL 60473-7439 · (708) 515-8366
Phone(708) 515-8366
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
✔ NPI 1306663463 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 IL · 149.026627
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.
17148 EVANS DR, South Holland, IL 60473
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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

Lakisha Mitchell 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.

PECOS PAC ID648792747
PECOS Enrollment IDI20250318003171
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lakisha Mitchell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Family And Community Resources PC
5.3 mi
Community/Behavioral Health
3330 W 177TH ST, SUITE 1-F
Hazel Crest, IL 60429
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1770818064 (708) 745-3040
Grow Healthcare Group PA
1,169 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois enrollment
  • 581 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lakisha Mitchell's NPI number?

The NPI number for Lakisha Mitchell is 1306663463. It was assigned to this individual provider in the NPPES registry on September 20, 2024.

Where is Lakisha Mitchell located?

Lakisha Mitchell practices at 17148 Evans Dr, South Holland, IL 60473. The listed phone number is (708) 515-8366.

What is Lakisha Mitchell's specialty?

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

Is Lakisha Mitchell enrolled in Medicare?

Yes. Lakisha 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 organizations bill Medicare for Lakisha Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lakisha Mitchell reassigns Medicare benefits to 2 organizations: Midwest Family And Community Resources PC (Hazel Crest, IL) and Grow Healthcare Group PA (Miami, FL). Each 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 Lakisha Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lakisha Mitchell was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.