William Michael Mick
Individual provider Active NPI Home Health Aide · Lost Creek, WV
NPI 1134910409 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1134910409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 22 Westfall Ave
Lost Creek, WV 26385-4501 - Phone
- (304) 709-8334
- NPI assigned
- May 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
22 Westfall Ave
Lost Creek, WV 26385-4501
Mailing address
22 Westfall Ave
Lost Creek, WV 26385-4501
Other providers in Lost Creek, WV
- Kenneth Maxwell
- Patricia Maxwell
- Natasha Nicole McCorkle
- Maryfrances Shehan McKinney
- Christina Mick
- Lori Nicole Moore
- Brenda Madaline Reynolds
- Carla Ann Riley
- Leaona Robinson
- Melinda Schrader
All providers in Lost Creek, WV · Home Health Aide in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.