Individual provider · Type 1 NPI

Jacob Paul Mizell, LMCSW

Clinical Social Worker · Kingman, KS

NPI number 1790393510 Active

Practice location

701 E D Ave
Kingman, KS 67068-1563

Fax (620) 513-5098

Mailing address

1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600

Other practice locations

  • 602 E 2nd St Ste 202, Pratt, KS 67124-2912 · (620) 672-2332

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X06627 (KS)

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…

2 other providers at this address

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About NPI 1790393510

Jacob Paul Mizell, LMCSW's National Provider Identifier is 1790393510, issued on Jul 17, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kingman, KS. The record was last updated on Oct 16, 2026.