Molly Mittel, LCSW
Social Worker, Clinical in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1982257879
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982257879
- Entity type
- Individual (NPI-1)
- Name
- Molly Mittel
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2019
- Certification date
- Jul 21, 2022
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904014157 | VA | Yes |
| 1041C0700X | Social Worker, Clinical | 108130 | CA | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
575 Lynnhaven Pkwy Ste 305Virginia Beach, VA 23452-7350
Phone 858-514-5100
Mailing address
Po Box 68193Virginia Beach, VA 23471-8193
Phone 301-302-4487
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