Provider Demographics
NPI:1689331183
Name:MITCHELL, LEANNA RENEE (LCSW)
Entity type:Individual
Prefix:
First Name:LEANNA
Middle Name:RENEE
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 1:1177 PLACER ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1152
Mailing Address - Country:US
Mailing Address - Phone:530-395-1924
Mailing Address - Fax:530-225-2970
Practice Address - Street 1:1177 PLACER ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1152
Practice Address - Country:US
Practice Address - Phone:530-395-1924
Practice Address - Fax:530-225-2970
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1197231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical