David G. Mikkola, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801033141 Issued in MI

Practice address

999 Haynes St 235
Birmingham, MI 48009-6702

Phone

(586) 321-0255

Fax

(248) 677-6523

NPI assigned

Jul 26, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

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 1

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• David G. Mikkola PC

  • Clinical Social Worker
  • Bingham Farms, MI
  • NPI 1376707463
  Medicare reassignment NPD Authorized official
• Lewis & Mikkola Comprehensive Psychological Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bingham Farms, MI
  • NPI 1447421672
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451174400000",
    "number": "1528258456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HAYNES STREET SUITE 235",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096702",
            "telephone_number": "586-321-0255",
            "fax_number": "248-677-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST 235",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096702",
            "telephone_number": "586-321-0255",
            "fax_number": "248-677-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKOLA",
        "first_name": "DAVID",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2015-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Orthopaedic Rehabilitation
• Michigan Spine Consultants PLLC
• Michigan Vascular Institute PLLC
• Michigan Wound Care Plus PC
• Hayley Marie Mieras, MT-BC
• Mitchell S. Milan, D.D.S.
• Michael Joseph Miletic, MD
• Michelle Miletic, MSW
• Cindy R Miller
• Mills Compounding Pharmacy, LLC

• Clinical Social Worker in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.