Individual provider · Type 1 NPI

Kenneth Carl Mitten, LCSW

Clinical Social Worker · Olive Branch, MS

NPI number 1275847337 Active

Practice location

6810 Crumpler Blvd, Suite 303
Olive Branch, MS 38654-1933

Fax (662) 890-0622

Mailing address

4057 Fairway View Cir W
Bartlett, TN 38135-9124

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC6918 (MS)
Clinical Social Worker 1041C0700X4333 (TN)

Clinical Social Worker: 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 interpers…

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About NPI 1275847337

Kenneth Carl Mitten, LCSW's National Provider Identifier is 1275847337, issued on Jul 31, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Olive Branch, MS. The record was last updated on Aug 30, 2010.