Individual provider Active NPI

River Mihok

  • Social Worker
  • Middletown, DE
National Provider Identifier
1386227171
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
Q3-0000226 Issued in DE
Practice address
115 N Broad St Ste 4a
Middletown, DE 19709-1045
Phone
(302) 377-6911
NPI assigned
Apr 30, 2021
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Q3-0000226 DE Primary

Addresses

Primary practice location

115 N Broad St Ste 4a
Middletown, DE 19709-1045

Mailing address

404 W Joppa Rd Apt 1E
Towson, MD 21204-4033
Phone (443) 876-9354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
Q3-0000226DEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Mind Counseling Center CurrentSince May 16, 2021 Accepting new patients

Locations

115 N Broad St
Ste 4A
Middletown, DE 19709
Phone (302) 377-6911

Organizations & group practices 1

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": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1386227171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W JOPPA RD APT 1E",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044033",
            "telephone_number": "443-876-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N BROAD ST STE 4A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091045",
            "telephone_number": "302-377-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHOK",
        "first_name": "RIVER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q3-0000226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.