Individual provider Active NPI

Mikayla Michaels, LCSW

  • Clinical Social Worker
  • Lakeland, FL
National Provider Identifier
1316563406
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22310 Issued in FL
Practice address
1664 Williamsburg SQ
Lakeland, FL 33803-4278
Phone
(863) 500-3780
NPI assigned
Jun 24, 2020
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW15477 FL
Clinical Social Worker 1041C0700X SW22310 FL Primary

Addresses

Primary practice location

1664 Williamsburg SQ
Lakeland, FL 33803-4278

Mailing address

2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496

Other practice location 1

1831 N Crystal Lake Dr
Lakeland, FL 33801-5902
Phone (863) 519-0575

Other names 1

  • Mikayla Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mikayla.MichaelsLCSW@direct.mybaycare.org Health Information Exchange (HIE) BayCare Behavioral Health Associates LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240613003567 FL Practitioner - Clinical Social Worker 2264975606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Behavioral Health IncGroup PAC ID 4688649122, 58 clinicians

Practice addresses (Care Compare)

7809 Massachusetts Ave
Suite 100
New Port Richey, FL 34653-3028
Phone (727) 841-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW15477FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Inc. Current Accepting new patients
Winter Haven Hospital Inc CurrentSince Jun 7, 2024 Accepting new patients
Peace River Center for Personal Development Inc CurrentSince Jun 16, 2024 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Aug 1, 2025 Accepting new patients
Peace River Center for Personal Development Inc CurrentSince Jun 1, 2020 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Aug 1, 2025 Accepting new patients
Winter Haven Hospital Inc Past Accepting new patients

Locations

2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

1664 Williamsburg Sq
Lakeland, FL 33803
Phone (863) 316-5498

1831 N Crystal Lake Dr
Lakeland, FL 33801
Phone 8635190575 ext. 6494

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

560 Jackson St N
Ste 302
St Petersburg, FL 33705
Phone (727) 820-7701

1201 1st St S
Winter Haven, FL 33880
Phone (863) 294-7062

Interoperability endpoints

  • Direct secure messaging: mikayla.michaelslcsw@direct.mybaycare.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1316563406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 WILLIAMSBURG SQ",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034278",
            "telephone_number": "863-500-3780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 N Crystal Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338015902",
            "country_code": "US",
            "telephone_number": "863-519-0575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "MIKAYLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW15477",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mikayla.MichaelsLCSW@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Behavioral Health Associates LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1831 N Crystal Lake Dr",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338015902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MIKAYLA",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.