Michael Louis Mirante, PH.D., L.C.S.W., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005408A Issued in IN

Practice address

227 S Main St Ste 103
Elkhart, IN 46516-3185

Phone

(574) 293-2000

Fax

(574) 293-2001

NPI assigned

Aug 17, 2007

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

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Interoperability endpoints

• Direct secure messaging: michaelmirante@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1942492418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2620",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465152620",
            "telephone_number": "574-293-2000",
            "fax_number": "574-293-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S MAIN ST STE 103",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163185",
            "telephone_number": "574-293-2000",
            "fax_number": "574-293-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANTE",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.C.S.W., MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2616",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005408A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Miller
• Sheila Christine Miller, LMHCA
• Moriah L Mills
• Ashley Miltroka, BSW
• Sandra Gay Minix, RD, CD
• Karen Cook Misla, DDS
• Tracy Lynn Mitchel, NP
• Eulah M Mitchell, MSW
• Tyesha Mitchell
• Nkosazana Mlotshwa, RBT

• Clinical Social Worker in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.