DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TIARA MARQUE MITCHELL, LCSW-A

Deactivated Sole Proprietor

MRS. TIARA MARQUE MITCHELL, LCSW-A is a Clinical Social Worker healthcare provider located in LUMBERTON, North Carolina. NPI 1275011215 is deactivated in the NPPES registry. Verify at CMS.

Clinical Social Worker · LUMBERTON, NC

This NPI has been deactivated. The record was deactivated on August 13, 2018. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1275011215
Provider Type
Individual
Gender
Female
NPI Issued
Aug 1, 2018 (0.032876712328767 yrs)
Last Updated
Oct 10, 2018
Deactivated
Aug 13, 2018
License
P012565 (NC)
Sole Proprietor
Yes

Practice Information

Address
3581 LACKEY ST
LUMBERTON, NC, 283609048
Browse NC providers · Browse ZIP 28360
Phone
9107385023
Fax
9107381451
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LUMBERTON, NC

Name Credential NPI
MRS. SANDRA MORGAN LCSW 1134157670
MRS. AMANDA L.. CUMMINGS LCSW 1134150485
ALICE JANINE BRITT LCSW 1730293523
ALICE FAYE SMITH LCSW 1578662896
GLENDA PRIDGEN LITTLE MSW, LCSW 1821198441
JOSEPH E DAVIS JR. LCSW 1346330867
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.