Active NPI
Mikaela McKee, LICENSED SOCIAL WORK
- Social Worker
- Hamburg, NY
National Provider Identifier
1487199808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW134071
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW134071 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mikaela McKee Counseling, LLC | Current | Accepting new patients | |
| Lake Erie Podiatry, LLC | Past | Accepting new patients |
Locations
4535 Southwestern Blvd
Ste 206A
Hamburg, NY 14075
Phone (814) 413-1452
Interoperability endpoints
- 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.
-
- Clinical Social Worker
- Erie, PA
- NPI 1558932160
-
- Clinical Psychologist
- Erie, PA
- NPI 1144615600
-
- Foot & Ankle Surgery Podiatrist
- Erie, PA
- NPI 1922164409
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.