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ALICIA LAUREL MITTLEMAN LCSW
NPI 1205291044
Social Worker - Clinical in West Sacramento, CA

Active since December 21, 2015PECOS EnrolledAccepts Medicare Assignment
3880 FOWLER RD, WEST SACRAMENTO, CA 95691(916) 425-7733(916) 372-2466 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2025, Feb 13, 2023, Aug 1, 2019 and 2 more (5 updates tracked since 2015).

About Alicia Laurel Mittleman Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA LAUREL MITTLEMAN LCSW (NPI 1205291044) is an individual clinical provider in West Sacramento, California, licensed in California (28794) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1205291044
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALICIA LAUREL MITTLEMANCredential: LCSW
Location Address3880 FOWLER RDWest Sacramento, CA 95691-5491
Mailing Address3880 Fowler RdWest Sacramento, CA 95691-5491 · (916) 425-7733 · Fax (916) 372-2466
Phone(916) 425-7733
Fax(916) 372-2466
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 21, 2015
Last NPPES UpdateDecember 31, 20255 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1205291044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 28794
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3880 FOWLER RD, West Sacramento, CA 95691
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alicia Laurel Mittleman Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395028922
PECOS Enrollment IDI20170206002030
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA MITTLEMAN LICENSED CLINICAL SOCIAL WORKER COUNSELING SERVICES
Social Worker (Clinical)
3880 FOWLER RD
WEST SACRAMENTO, CA 95691
Yolo County (916) 425-7733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Mittleman's NPI number?

The NPI number for Alicia Mittleman is 1205291044. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Alicia Mittleman located?

Alicia Mittleman practices at 3880 Fowler Rd, West Sacramento, CA 95691. The listed phone number is (916) 425-7733.

What is Alicia Mittleman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alicia Mittleman enrolled in Medicare?

Yes. Alicia Mittleman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alicia Mittleman was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.