Alisha Mikkelson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851110946 Issued in MI

Practice address

33596 Harper Ave Ste 1
Clinton Township, MI 48035-4251

Phone

(586) 991-1052

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Safe Roots Therapy, LLC

  • Clinical Social Worker
  • Sterling HTS, MI
  • NPI 1205711710
  NPD Authorized official
• Therapy Alliance of Michigan, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton Township, MI
  • NPI 1649863192
  NPD (past)

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1225819071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 SHANNON DR",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483142528",
            "telephone_number": "586-690-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33596 HARPER AVE STE 1",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354251",
            "telephone_number": "586-991-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKELSON",
        "first_name": "ALISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Urgent Care
• Blake Mico, LPC
• Midwest Center for Dermatology & Pathology, PLLC
• Midwest Counseling and Consulting LLC
• Amanda Mikho, FNP-BC
• Michelle Milam
• Jeannie Catherine Mildner, OTRL
• Kristin Lynn Milewicz, LMSW
• Paul Militello, LLP
• Nathalia Millan-Borrero, MD

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.