Nina Misch

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110992 Issued in CA

Practice address

865 9TH St Ste 208
Arcata, CA 95521-6242

Phone

(707) 682-9345

NPI assigned

Apr 29, 2015

Reactivated

Dec 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Humboldt Neurohealth Therapeutic Services

  • Adult Mental Health Clinic/Center
  • Fortuna, CA
  • NPI 1710459292

  Clinical

  Medicare reassignment NPD
• Redwood Community Action Agency

  • Case Manager/Care Coordinator
  • Eureka, CA
  • NPI 1578699260
  NPD (past)

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1124405048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "city": "TRINIDAD",
            "state": "CA",
            "postal_code": "955700292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 9TH ST STE 208",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216242",
            "telephone_number": "707-682-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCH",
        "first_name": "NINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "deactivation_date": "2022-12-04",
        "reactivation_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Micks, MD, MPH
• Nancy A Miller, F.N.P.
• Quinn Miller, RN
• Toni Miller
• Lianne Millerbis
• Edward Mitchell
• Amanda Marie Moitoso, BCBA
• John Derrick Monfort, LCSW
• Jessica Brutocao-Kemp Montague, LCSW
• Danette Rachelle Montano, MA, BCBA

• Clinical Social Worker in Arcata, CA
• Providers in Arcata, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.