Paul Mikels LMSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801061152 Issued in MI

Legal business name

PAUL MIKELS LMSW LLC

Practice address

986 S. Telegraph Rd
Monroe, MI 48161

Phone

(419) 250-0169

Fax

(734) 848-2040

NPI assigned

May 4, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Paul W. Mikels, LMSW

Title

Sole Proprietor

Phone

(419) 250-0169

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1811256274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10860 VICTORY RD",
            "city": "ERIE",
            "state": "MI",
            "postal_code": "481339755",
            "telephone_number": "419-250-0169",
            "fax_number": "734-848-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 S. TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48161",
            "telephone_number": "419-250-0169",
            "fax_number": "734-848-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL MIKELS LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "MIKELS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "419-250-0169",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801061152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P00762120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Monroe, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.