Mitchell, Mavernie

Mitchell, Mavernie is an sole proprietor health care provider with primary practice located at 4960 Arlington Ave Suite B, Riverside CA 92504-2738. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mitchell, Mavernie can be contacted via phone (951) 341-8930.

Contact Information

Primary practice address
4960 Arlington Ave Suite B Riverside CA 92504-2738
Fax: (951) 341-8932
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 18030 California

Profile Details

NPI number 1952318446
LBN Legal business name Mitchell, Mavernie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Apr 12th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952318446 NPPES
California Other 18030 STATE LICENSE

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