Active NPI
Mikayla Brown
- Clinical Social Worker
- Council Bluffs, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 117861
- Practice address
- 515 E Broadway
Council Bluffs, IA 51503-4419 - Phone
- (402) 553-3000
- NPI assigned
- Mar 2, 2023
- Last updated
- Sep 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 117861 | IA | Primary |
Addresses
Primary practice location
515 E Broadway
Council Bluffs, IA 51503-4419
Mailing address
515 E Broadway
Council Bluffs, IA 51503-4419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3300 N 60TH St
BLDG C
Omaha, NE 68104-3402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Family Service | Current | Accepting new patients | |
| Heartland Family Service | Current | Accepting new patients | |
| Heartland Family Service | Current | Accepting new patients |
Locations
1515 Avenue J
Council Bluffs, IA 51501
Phone (712) 435-5350
515 E Broadway
Council Bluffs, IA 51503
Phone (712) 322-1407
2101 S 42nd St
Omaha, NE 68105
3300 N 60th St
Bldg C
Omaha, NE 68104
Phone (402) 552-7459
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Council Bluffs, IA
- NPI 1972343184
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Council Bluffs, IA
- NPI 1316009475
-
- Multi-Specialty Clinic/Center
- Council Bluffs, IA
- NPI 1447742036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1134828791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515034419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515034419",
"telephone_number": "402-553-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MIKAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-02",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "117861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
- Broadway Chiropractic Clinic PC
- Broadway Family and Cosmetic Dentistry, P.C.
- Broadway Family and Cosmetic Dentistry, Partnership
- Grace Lyne Brotherton, LIMHP, LMHC
- Ashlyn Nichole Brown
- Rosa Brown, MDN, RDN, LDN
- Zachary Dylan Brown, TCADC
- Bridget L Buck, P.A.
- Kelly Buckman, PTA
- Ryan Gerald Buetow, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.