Individual provider Active NPI

Mikaela McKee, LICENSED SOCIAL WORK

  • Social Worker
  • Hamburg, NY
National Provider Identifier
1487199808
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW134071 Issued in PA
Practice address
4535 Southwestern Blvd Ste 206a
Hamburg, NY 14075-1861
Phone
(814) 835-7043
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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 SW134071 PA Primary

Addresses

Primary practice location

4535 Southwestern Blvd Ste 206a
Hamburg, NY 14075-1861

Mailing address

4535 Southwestern Blvd Ste 206a
Hamburg, NY 14075-1861
Phone (570) 825-6425

Other practice location 1

2700 W 21st St Ste 29
Erie, PA 16506-2972
Phone (814) 413-1452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200416000833 PA Practitioner - Clinical Social Worker 7618234154 Reassigns benefits to 2 organizations
I20221013001890 NY Practitioner - Clinical Social Worker 7618234154 Practice locations: Hamburg, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW134071PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mikaela McKee Counseling, LLC CurrentSince Aug 1, 2021 Accepting new patients
Lake Erie Podiatry, LLC PastSince Feb 14, 2020 Accepting new patients

Locations

4535 Southwestern Blvd
Ste 206A
Hamburg, NY 14075
Phone (814) 413-1452

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18052/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1487199808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 SOUTHWESTERN BLVD STE 206A",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751861",
            "telephone_number": "570-825-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 SOUTHWESTERN BLVD STE 206A",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751861",
            "telephone_number": "814-835-7043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 W 21st St Ste 29",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165062972",
            "country_code": "US",
            "telephone_number": "814-413-1452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "MIKAELA",
        "credential": "LICENSED SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

Verify at the official NPI Registry.