KELVIN L MITCHELL LCSW-C
NPI 1942431176
Social Worker - Clinical in Glenn Dale, MD
About Kelvin L Mitchell Lcsw-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELVIN L MITCHELL LCSW-C (NPI 1942431176) is an individual clinical provider in Glenn Dale, Maryland, licensed in Maryland (15294) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelvin L Mitchell Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelvin Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bowie, MD 20720
- Reassigned Medicare billing, District of Columbia enrollment
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 20769 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENN DALE, MD 20769
GLENN DALE, MD 20769
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 Kelvin Mitchell's NPI number?
The NPI number for Kelvin Mitchell is 1942431176. It was assigned to this individual provider in the NPPES registry on August 5, 2009.
Where is Kelvin Mitchell located?
Kelvin Mitchell practices at 12150 Annapolis Rd Ste 104, Glenn Dale, MD 20769. The listed phone number is (301) 821-7716.
What is Kelvin Mitchell's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelvin Mitchell enrolled in Medicare?
Yes. Kelvin Mitchell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelvin Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelvin Mitchell reassigns Medicare benefits to Families Achieving More, LLC (Bowie, MD). The 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 Kelvin 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 Kelvin Mitchell was last updated on April 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kelvin L Mitchell, LCSW-C · NPI 1942431176
Clinical provider in Glenn Dale, Maryland. Individual provider, active in the CMS NPPES registry since August 5, 2009.
## Identity
- **NPI:** 1942431176 (Entity type: Individual)
- **Enumerated:** August 5, 2009
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 15294 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12150 ANNAPOLIS RD STE 104, Glenn Dale, MD 20769-9183
- **Phone:** (301) 821-7716 · **Fax:** (301) 352-0405
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Families Achieving More, LLC (NPI 1811496474, Bowie, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2010
- **Other identifiers:** Medicare PIN 164107 (MD); Medicaid 024330200 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1942431176) · Data from the CMS NPPES public registry.