Individual provider Active NPI

Michael Cody Mills, M.S.W.

  • Social Worker
  • Clinton, IA
National Provider Identifier
1891988671
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1523 S Bluff Blvd
Clinton, IA 52732-6549
Phone
(563) 243-6054
Fax
(563) 243-6828
NPI assigned
Aug 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1523 S Bluff Blvd
Clinton, IA 52732-6549

Mailing address

1523 S Bluff Blvd
Clinton, IA 52732-6549
Phone (563) 243-6054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20140711001838 IA Practitioner - Clinical Social Worker 6305061011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Wellness Center LLCGroup PAC ID 1052380813, 5 clinicians

Practice addresses (Care Compare)

1523 S Bluff Blvd
Clinton, IA 52732-6549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007009IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Wellness Center LLC CurrentSince Jun 1, 2014 Accepting new patients
Excelsior Ranch PastSince May 25, 2025 Accepting new patients

Locations

1523 S Bluff Blvd
Clinton, IA 52732
Phone (563) 243-6054

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1891988671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326549",
            "telephone_number": "563-243-6054",
            "fax_number": "563-243-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326549",
            "telephone_number": "563-243-6054",
            "fax_number": "563-243-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MICHAEL",
        "middle_name": "CODY",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.