Jonathan Daniel Mikulak, L.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW126542 Issued in PA

Practice address

3063 Freeport Rd
Suite B
Natrona Heights, PA 15065-1967

Phone

(724) 766-9238

Fax

(724) 226-0931

NPI assigned

Mar 6, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1299369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299369600000",
    "number": "1720386337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 HALLWOOD DR",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151472523",
            "telephone_number": "412-996-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 FREEPORT RD",
            "address_2": "SUITE B",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150651967",
            "telephone_number": "724-766-9238",
            "fax_number": "724-226-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULAK",
        "first_name": "JONATHAN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "L.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-06",
        "last_updated": "2011-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Natrona Heights, PA
• Providers in Natrona Heights, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; 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.