Elezaveta Y Mikheyeva, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60877331 Issued in WA

Practice address

1212 N Washington St Ste 204
Spokane, WA 99201-2401

Phone

(509) 939-6864

NPI assigned

Aug 3, 2018

Sex

Female

Sole proprietor

No

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.

• Revive Therapy & Wellness PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane Valley, WA
  • NPI 1396557930
  NPD Authorized official

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1437637154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 N WOODLAWN LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162384",
            "telephone_number": "509-936-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N WASHINGTON ST STE 204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012401",
            "telephone_number": "509-939-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHEYEVA",
        "first_name": "ELEZAVETA",
        "middle_name": "Y",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60877331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Claire Miethke, MD
• Kimberly Paige Mihalsky, MD
• Douglas Joseph Mikel, MA
• Ilona Nikolayevna Mikhalchuk, LMFTA
• Moses Mikheyev
• Cris Mikkelsen, NCLE-AC, NCLEM
• David J Mikkelsen, M.D.
• Erik Paul Mikkelsen, OT
• Leslie Ann Miknavich, MSW
• Mikolasy, LLC

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.