Individual provider · Type 1 NPI
Mitchell Clinton Phelps, MSW, CRSS
Peer Specialist · Oak Brook, IL
NPI number
1972216893
Active
Practice location
1100 Jorie Blvd Ste 234
Oak Brook, IL 60523-4418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
| Social Worker | 104100000X | 150.131581 (IL) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
4 other providers at this address
About NPI 1972216893
Mitchell Clinton Phelps, MSW, CRSS's National Provider Identifier is 1972216893, issued on Jan 5, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oak Brook, IL. The record was last updated on Sep 10, 2026.