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DEIDRA ANN MITCHELL
NPI 1760097588
Social Worker - Clinical in Granville, NY

Active since September 09, 2020PECOS Enrolled
58 QUAKER ST, GRANVILLE, NY 12832(518) 642-1051 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deidra Ann Mitchell NPPES

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

DEIDRA ANN MITCHELL (NPI 1760097588) is an individual clinical provider in Granville, New York and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1760097588
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEIDRA ANN MITCHELL
Location Address58 QUAKER STGranville, NY 12832-1513
Mailing Address525 Mceachron Hill RdArgyle, NY 12809-3000 · (518) 638-8271
Phone(518) 642-1051
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 9, 2020
NPPES CertifiedAugust 13, 2020
✔ NPI 1760097588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
58 QUAKER ST, Granville, NY 12832
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deidra Ann Mitchell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163990045
PECOS Enrollment IDI20260508002352
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12832 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 4

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

JENNIFER POWELL LCSW
Social Worker (Clinical)
58 QUAKER ST
GRANVILLE, NY 12832
Washington County (518) 642-1051
MRS. BROOKE LYNNE HOVER RN
Registered Nurse
58 QUAKER ST
GRANVILLE, NY 12832
Washington County (518) 642-1051
GRANVILLE CENTRAL SCHOOL DISTRICT
Local Education Agency (LEA)
58 QUAKER ST
GRANVILLE, NY 12832
Washington County (518) 642-1051
DEBORAH MARIE GARRELTS M.S., OTR/L
Occupational Therapist (Pediatrics)
58 QUAKER ST
GRANVILLE, NY 12832
Washington County (518) 642-1051

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 Deidra Mitchell's NPI number?

The NPI number for Deidra Mitchell is 1760097588. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Deidra Mitchell located?

Deidra Mitchell practices at 58 Quaker St, Granville, NY 12832. The listed phone number is (518) 642-1051.

What is Deidra Mitchell's specialty?

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

Is Deidra Mitchell enrolled in Medicare?

Yes. Deidra Mitchell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deidra Mitchell was last updated on September 9, 2020. 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.