Active NPI
Mikal Jamal Sabree, LICSW, PIP
- Clinical Social Worker
- Montgomery, AL
National Provider Identifier
1497094882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3776C
- Practice address
- 4131 Carmichael Rd Ste 9
Montgomery, AL 36106-2801 - Phone
- (334) 318-1584
- Fax
- (334) 593-4652
- NPI assigned
- Feb 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2962G | AL | |
| Clinical Social Worker | 1041C0700X | 3776C | AL | Primary |
Addresses
Primary practice location
4131 Carmichael Rd Ste 9
Montgomery, AL 36106-2801
Mailing address
PO Box 240912
Montgomery, AL 36124-0912
Phone (334) 318-1584
Other practice location 1
4110 Wall St
Montgomery, AL 36106-2924
Phone (334) 247-3900 ext. 1
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102I808816 | Medicaid | AL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2962G | AL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596240000000",
"number": "1497094882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240912",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361240912",
"telephone_number": "334-318-1584",
"fax_number": "334-593-4652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 CARMICHAEL RD STE 9",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062801",
"telephone_number": "334-318-1584",
"fax_number": "334-593-4652"
}
],
"practiceLocations": [
{
"address_1": "4110 Wall St",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361062924",
"country_code": "US",
"telephone_number": "334-247-3900 x1",
"fax_number": "334-247-3902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SABREE",
"first_name": "MIKAL",
"middle_name": "JAMAL",
"name_prefix": "Mr.",
"credential": "LICSW, PIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-06",
"last_updated": "2020-08-01",
"certification_date": "2020-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AL",
"license": "2962G",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "3776C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102I808816",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.