Tashawna Mitchell | Windsor, CT • PECOS Search

Tashawna Mitchell

Social Worker

Behavioral Health & Social Service Providers

56 Poquonock Ave, Windsor, CT 06095-2507

(475) 261-0459 (860) 995-2572

PECOS Enrollment

Based on the most recent information from CMS, provider Tashawna Mitchell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1083438675
Provider Type
Individual
Full Name
Mitchell, Tashawna
Gender
Female

Sole Proprietor
No
Enumeration Date
11/11/2024
Last Updated
11/11/2024

Contact Information

Practice Location

56 Poquonock Ave, Windsor, CT 06095-2507

Unlisted Fax

Mailing Location

74 Saunders St, East Hartford, CT 06108-3121

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 5386 Connecticut