Sonnie J Mikulka, BSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1344 5TH Ave
Youngstown, OH 44504-1703

Phone

(855) 292-9778

Fax

(855) 292-9778

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Broadway Recovery Services, Inc.

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1619692332
  NPD
• Broadway Recovery Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Youngstown, OH
  • NPI 1861017683
  NPD

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1780300798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE C4",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124367",
            "telephone_number": "855-292-9778",
            "fax_number": "855-292-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 5TH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041703",
            "telephone_number": "855-292-9778",
            "fax_number": "855-292-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULKA",
        "first_name": "SONNIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura@broadwayrecoveryservices.org",
            "affiliation": "N",
            "endpointDescription": "temporary work email",
            "address_1": "725 Boardman Canfield Rd Ste C4",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445124367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Louise Mikolay, OTR L
• Lynn M Mikolich, M.D.
• Emily Ann Miksza
• Bridget Nicole Mikula, CNP
• Erika Marie Mikula, FNP-C
• Julia Miladore, M.D.
• Michael J Miladore, M.D.
• Michael Patrick Miladore, M.D.
• Corinne Milentijevic, MSSA/LISW
• Stephanie M Miles

• Social Worker in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.