Look up the most recent NPI and PECOS records

Marla Mitchell

Social Worker

Behavioral Health & Social Service Providers

5745 W. Maple Road, Suite 205, West Bloomfield, MI 48322

PECOS Enrollment

Based on the most recent information from CMS, provider Marla Mitchell is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1588008072
Provider Type
Individual
Full Name
Mitchell, Marla
Credential
LLMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/26/2013
Last Updated
2/7/2021

Contact Information

Practice Location

5745 W. Maple Road, Suite 205, West Bloomfield, MI 48322

(248) 413-5817

(248) 429-2132

Mailing Location

2651 Apache Trl, Wixom, MI 48393-2119

(248) 668-0933

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801108571 Michigan

Marla Mitchell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Reeves, Christine Victoria

Rowe, Sharilyn

Buckner, Deborah

Curtis, Tyrus

Tucker, Deborah Naomi

Bristol, Marcy

Blumenstein-Bott, Lori Beth

Spirko, Catherine Ann

Tucker, Jonathan

Miller, Christy