Michael Robert Milco, PHD, LCSW, MDIV

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018247 Issued in IL

Practice address

737 N Michigan Ave
Suite 1925
Chicago, IL 60611-2615

Phone

(773) 691-6540

NPI assigned

Jun 2, 2016

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

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.

Opted out of Medicare

Yes, effective Feb 10, 2020 through Feb 10, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1831547595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE",
            "address_2": "SUITE 1925",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112615",
            "telephone_number": "773-691-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE",
            "address_2": "SUITE 1925",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112615",
            "telephone_number": "773-691-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILCO",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "PHD, LCSW, MDIV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Milbourn, MA
• Nacole Milbrook, PSYD
• Bianca Milburn, FNP-BC
• Mason Wayne Milburn, M.D
• Meckell Milburn, NBC-HWC
• Carolyn Ann Mildner, PH.D.
• Mile Square Davis/Brighton Park Satellite Health and Wellness Center
• Mile Square Drake Health and Wellness Center
• Mile Square Englewood/Cook Satellite Health and Wellness Center
• Lorena Mile

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.