Individual provider Active NPI

Nikkita Helen Mikolavich, ASW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1497088397
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW105980 Issued in CA
Practice address
3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971
Phone
(916) 394-9195
Fax
(916) 392-2827
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW105980 CA Primary

Addresses

Primary practice location

3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971

Mailing address

3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971
Phone (916) 394-9195

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
ASW105980CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Community Programs CurrentSince Dec 31, 2023 Accepting new patients
Turning Point Community Programs - PSH CurrentSince Jul 1, 2022 Accepting new patients
Human Resources Consultants, Inc Past Accepting new patients

Locations

3947 Lennane Dr
Ste 110
Sacramento, CA 95834
Phone (916) 283-8259

3810 Rosin Ct
Ste 180
Sacramento, CA 95834
Phone (916) 283-8253

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1497088397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 LENNANE DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341971",
            "telephone_number": "916-394-9195",
            "fax_number": "916-392-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 LENNANE DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341971",
            "telephone_number": "916-394-9195",
            "fax_number": "916-392-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOLAVICH",
        "first_name": "NIKKITA",
        "middle_name": "HELEN",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW105980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.