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MIKHAELA CREEKMORE LLC
NPI 1306689617
Social Worker - Clinical in Janesville, WI

Active since June 14, 2024
4539 WOODGATE DR STE A8, JANESVILLE, WI 53546(608) 201-0591 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mikhaela Creekmore Llc NPPES

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

MIKHAELA CREEKMORE LLC (NPI 1306689617) is a healthcare organization registered as a clinical in Janesville, Wisconsin and active in the NPI registry since June 2024. The organization lists Mikhaela Creekmore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306689617
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMIKHAELA CREEKMORE LLC
Location Address4539 WOODGATE DR STE A8Janesville, WI 53546-8205
Mailing Address4754 Sumpter DrMilton, WI 53563-8417 · (608) 201-0591
Phone(608) 201-0591
Organization SubpartNo
Authorized OfficialMikhaela CreekmoreCeo · (608) 201-0591
Enumeration DateJune 14, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1306689617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
4539 WOODGATE DR STE A8, Janesville, WI 53546
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Other Names 1

Former Legal Business NameMikhaela Creekmore Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikhaela Creekmore Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mikhaela Creekmore LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mikhaela Creekmore, LCSW
Clinical Social Worker
NPI 1689026965
4539 WOODGATE DR STE A5
Janesville, WI 53546
(608) 352-8123
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mikhaela Creekmore LLC's NPI number?

The NPI number for Mikhaela Creekmore LLC is 1306689617. It was assigned to this organization in the NPPES registry on June 14, 2024.

Where is Mikhaela Creekmore LLC located?

Mikhaela Creekmore LLC is located at 4539 Woodgate Dr Ste A8, Janesville, WI 53546. The listed phone number is (608) 201-0591.

What is Mikhaela Creekmore LLC's specialty?

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

Is Mikhaela Creekmore LLC enrolled in Medicare?

Yes. Mikhaela Creekmore LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mikhaela Creekmore LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mikhaela Creekmore LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mikhaela Creekmore LLC accept?

Health plans from Dean Health Plan list Mikhaela Creekmore LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mikhaela Creekmore LLC was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.