Provider Demographics
NPI:1396117834
Name:MITCHELL, YVETTE (LCSW)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 S SPAULDING AVE
Mailing Address - Street 2:HOUSE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623-1743
Mailing Address - Country:US
Mailing Address - Phone:773-495-5151
Mailing Address - Fax:
Practice Address - Street 1:1731 N.MARCEY SUITE 535
Practice Address - Street 2:TERRY HEFTER ASSOCIATES, LLC
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614
Practice Address - Country:US
Practice Address - Phone:312-280-1166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0167461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical