Luke George Mihaylo Jr., LCSW LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

140004395CT02 Issued in CT

Practice address

82 Wewaka Brook Rd
Bridgewater, CT 06752-1712

Phone

(860) 355-2995

Fax

(860) 355-4297

NPI assigned

Oct 25, 2006

Last updated

Jan 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CT

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, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1811072374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 WEWAKA BROOK RD",
            "city": "BRIDGEWATER",
            "state": "CT",
            "postal_code": "067521712",
            "telephone_number": "860-355-2995",
            "fax_number": "860-355-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 WEWAKA BROOK RD",
            "city": "BRIDGEWATER",
            "state": "CT",
            "postal_code": "067521712",
            "telephone_number": "860-355-2995",
            "fax_number": "860-355-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHAYLO",
        "first_name": "LUKE",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "30000223CT01-LADC",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "140004395CT02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL CREDENTIALING",
            "identifier": "11467756",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DRUG/ALCOHOL",
            "identifier": "30000223CT01-LADC",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BS",
            "identifier": "30000223CT01-LADC",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BS",
            "identifier": "140004395CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SW",
            "identifier": "140004395CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roselyn Hade, MFT
• JD Counseling & Psychotherapy, LLC
• Maggie Rebecca Lucian, LMFT
• Dawn M Macnutt, MSW LCSW
• Maggie Lucian, LMFT, LLC
• Vincent F Miscia, MD
• Bradford J Pinkos, DMD
• Frederick Frazier Planz, DMD
• Rudolph J Simari Jr.
• The Bridgewater Fire Department Incorporated (The Bridgewater Volunteer Fire Department, Inc)

• Clinical Social Worker in Bridgewater, CT
• Providers in Bridgewater, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.