Alina Anuccavech Mikolaitis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

92513 Issued in CA

Practice address

916 N Western Ave Ste 205
San Pedro, CA 90732-2435

Phone

(310) 957-2099

NPI assigned

Aug 31, 2009

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Recovery Now Licensed Clinical Social Work, Inc.

  • Clinical Social Worker
  • Rancho Palos Verdes, CA
  • NPI 1861644759
  NPD

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1407089972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29504 WHITLEY COLLINS DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902754947",
            "telephone_number": "323-426-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N WESTERN AVE STE 205",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322435",
            "telephone_number": "310-957-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4470 W Sunset Blvd Ste 107",
            "address_2": "Pmb94731",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90027",
            "country_code": "US",
            "telephone_number": "323-798-7413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKOLAITIS",
        "first_name": "ALINA",
        "middle_name": "ANUCCAVECH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Desiree Mendoza
• Oscar Jaime Mendoza
• Kristen Marie Meyer
• Roberta Michaelis
• Adrian Micle
• Millan Chiropractic Group Apc
• Jeffrey S. Millan, D.C.
• Charles Franklin Miller, ASW
• Kenneth Joel Miller, MD
• Nancy Miller, PHD

• Clinical Social Worker in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.