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KERRY D MITCHELL PHD
NPI 1912005604
Social Worker - Clinical in Chestnut Hill, MA

Active since September 20, 2006Opted out of Medicare · through Nov 25, 2026
500 BEACON ST, CHESTNUT HILL, MA 02467(617) 989-0047(617) 244-6447 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kerry D Mitchell Phd NPPES

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

KERRY D MITCHELL PHD (NPI 1912005604) is an individual clinical provider in Chestnut Hill, Massachusetts, licensed in Massachusetts (101476) and active in the NPI registry since September 2006. He has opted out of Medicare through November 25, 2026.

NPPES Registry Identity

NPI1912005604
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKERRY D MITCHELLCredential: PHD
Location Address500 BEACON STChestnut Hill, MA 02467-1168
Mailing Address500 Beacon StChestnut Hill, MA 02467-1168 · (617) 989-0047 · Fax (617) 244-6447
Phone(617) 989-0047
Fax(617) 244-6447
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912005604 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 MA · 101476
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.
500 BEACON ST, Chestnut Hill, MA 02467
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kerry D Mitchell Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 25, 2024 through November 25, 2026.

Opt-Out Effective DateNovember 25, 2024
Opt-Out In Effect ThroughNovember 25, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Kerry Mitchell's NPI number?

The NPI number for Kerry Mitchell is 1912005604. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kerry Mitchell located?

Kerry Mitchell practices at 500 Beacon St, Chestnut Hill, MA 02467. The listed phone number is (617) 989-0047.

What is Kerry Mitchell's specialty?

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

Is Kerry Mitchell enrolled in Medicare?

No. Kerry Mitchell has opted out of Medicare through November 25, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kerry Mitchell accept?

Health plans from Providence Health Plan list Kerry Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kerry Mitchell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.