LMK Behavioral Health LLC – Clinical Social Worker

Key facts

NPI: 1124873062
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Social Worker 1041C0700X
Legal business name: LMK BEHAVIORAL HEALTH LLC
Practice address: 227 McKinley Ave
Eveleth, MN 55734-1606
Phone: (925) 303-5138
NPI assigned: Apr 23, 2024
Organization subpart: No

Authorized official

Name: Deana Mikolich, LICSW
Title: Owner/Licsw
Phone: (925) 303-5138

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Deana Mikolich, LGSW Clinical Social Worker · Eveleth, MN · NPI 1225883150

Medicare reassignment NPD CLINICAL · MN

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MN

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250106002761	MN	Part B Supplier - Clinic/Group Practice	5496283301	Receives reassigned benefits from 1 practitioner Practice locations: Eveleth, MN

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker Group: 193200000X MULTI-SPECIALTY GROUP	1041C0700X			Yes

Addresses

Primary practice location

227 McKinley Ave
Eveleth, MN 55734-1606

Mailing address

227 McKinley Ave
Eveleth, MN 55734-1606
Phone (925) 303-5138

Other providers in Eveleth, MN

All providers in Eveleth, MN · Clinical Social Worker in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.