Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH CARL MITTEN, LCSW
Active Sole ProprietorKENNETH CARL MITTEN, LCSW is a Clinical Social Worker healthcare provider located in OLIVE BRANCH, Mississippi. NPI 1275847337 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · OLIVE BRANCH, MS
Registration Details
- NPI Number
- 1275847337
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2010 (16.002424668403 yrs)
- Last Updated
- Aug 30, 2010
- Licenses
-
C6918 (MS)4333 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6810 CRUMPLER BLVDSUITE 303OLIVE BRANCH, MS, 386541933Browse MS providers · Browse ZIP 38654
- Phone
- 9014839548
- Fax
- 6628900622
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in OLIVE BRANCH, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. TASHA D MITCHELL | LCSW | 1780798470 |
| DAWN DENISE BURNS CASEY | LCSW | 1780730747 |
| MRS. LISA ANN SMITH | LCSW | 1275673337 |
| MRS. KELLY B. ROSS | LCSW | 1821322314 |
| MONTOYIA DENISE MCGOWAN | LCSW | 1922314095 |
| TESSICA C. BONEY | LCSW | 1023391042 |
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.