Individual provider Active NPI

Michelle Lou Milligan, LCSW

  • Clinical Social Worker
  • Crestview, FL
National Provider Identifier
1073097440
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15699 Issued in FL
Practice address
259 E Oakdale Ave
Crestview, FL 32539-3547
Phone
(850) 682-1234
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW15699 FL Primary

Addresses

Primary practice location

259 E Oakdale Ave
Crestview, FL 32539-3547

Mailing address

259 E Oakdale Ave
Crestview, FL 32539-3547
Phone (850) 449-9566

Other practice location 1

7 Vine Ave NE
Fort Walton Beach, FL 32548-5070
Phone (850) 682-1234 ext. 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181220001658 FL Practitioner - Clinical Social Worker 6002151958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Perspectives Counseling GroupGroup PAC ID 3173932506, 2 clinicians

Practice addresses (Care Compare)

502 E 2ND Ave
Crestview, FL 32536-2514
Phone (850) 778-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW15699FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Perspectives Counseling Group Clinical CurrentSince Jan 7, 2021 Accepting new patients
PPCC, Inc. CurrentSince Dec 4, 2018 Accepting new patients
Senior Living Behavioral Health LCSW PLLC Clinical Past Accepting new patients

Locations

259 E Oakdale Ave
Crestview, FL 32539
Phone (850) 682-1234

502 2nd Ave NW
Crestview, FL 32536
Phone (334) 796-8375

7 Vine Ave NE
Fort Walton Beach, FL 32548
Phone (850) 449-9566

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1073097440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E OAKDALE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325393547",
            "telephone_number": "850-449-9566",
            "fax_number": "850-460-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E OAKDALE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325393547",
            "telephone_number": "850-682-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Vine Ave NE",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325485070",
            "country_code": "US",
            "telephone_number": "850-682-1234 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "MICHELLE",
        "middle_name": "LOU",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.