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MS. CORENNA MARIE MITCHAM LCSW
NPI 1831471184
Social Worker - Clinical in Eureka, CA

Active since September 13, 2011PECOS EnrolledAccepts Medicare Assignment
2200 TYDD ST, EUREKA, CA 95501(707) 441-1624(707) 441-1253 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2018, Jan 29, 2016 (2 updates tracked since 2016).

About Ms. Corenna Marie Mitcham Lcsw NPPES

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

MS. CORENNA MARIE MITCHAM LCSW (NPI 1831471184) is an individual clinical provider in Eureka, California, licensed in California (LCSW26524) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1831471184
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CORENNA MARIE MITCHAMCredential: LCSW
Location Address2200 TYDD STEureka, CA 95501
Mailing Address670 9th Street, Suite 203Arcata, CA 95521-6249 · (707) 826-8633 · Fax (707) 826-8638
Phone(707) 441-1624
Fax(707) 441-1253
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 13, 2011
Last NPPES UpdateJune 14, 20182 updates tracked since enumeration
✔ NPI 1831471184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW26524
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.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 26524 (CA)
2200 TYDD ST, Eureka, CA 95501
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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 and accepts Medicare assignment

Ms. Corenna Marie Mitcham Lcsw 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 ID5395101117
PECOS Enrollment IDI20230522002045
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 95501 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 20

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

MS. DEBBRA MELODY HAVEN PSYD PHD
Psychologist
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 441-1624
DR. MARK GREGORY ELLIS MD
Pediatrics
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 269-7051
BRANDON EDWARD TOMLIN LCSW
Social Worker (Clinical)
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 441-1624
PENNY POWERS RN
Registered Nurse
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 441-1624
ANGELO JOHN ALFANO FNP
Nurse Practitioner (Family)
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 441-1624
MS. SUZANNE DIETZ PNP
Nurse Practitioner
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 269-7051
DR. PIPPA ELAYNE COULTER MD, PHD
Pediatrics
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 269-7051
CELESTE MAXINE SAYLES-CROY DO
Internal Medicine (Geriatric Medicine)
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 441-1624

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 Corenna Mitcham's NPI number?

The NPI number for Corenna Mitcham is 1831471184. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Corenna Mitcham located?

Corenna Mitcham practices at 2200 Tydd St, Eureka, CA 95501. The listed phone number is (707) 441-1624.

What is Corenna Mitcham's specialty?

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

Is Corenna Mitcham enrolled in Medicare?

Yes. Corenna Mitcham 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.

When was this NPI record last updated?

The NPPES record for Corenna Mitcham was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.