Active NPI
Mikea Wall
- Social Worker
- Wilkinsburg, PA
National Provider Identifier
1912354978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW133132
- Practice address
- 711 Penn Ave
Floor 2
Wilkinsburg, PA 15221-2216 - Phone
- (412) 241-4673
- Fax
- (412) 241-4675
- NPI assigned
- May 19, 2016
- Last updated
- May 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW133132 | PA | Primary |
Addresses
Primary practice location
711 Penn Ave
Floor 2
Wilkinsburg, PA 15221-2216
Mailing address
711 Penn Ave
Floor 2
Wilkinsburg, PA 15221-2216
Phone (412) 241-4673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Towards Peace Counseling Services | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Wilkinsburg, PA
- NPI 1699023689
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1912354978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 PENN AVE",
"address_2": "FLOOR 2",
"city": "WILKINSBURG",
"state": "PA",
"postal_code": "152212216",
"telephone_number": "412-241-4673",
"fax_number": "412-241-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 PENN AVE",
"address_2": "FLOOR 2",
"city": "WILKINSBURG",
"state": "PA",
"postal_code": "152212216",
"telephone_number": "412-241-4673",
"fax_number": "412-241-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "MIKEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkinsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.