DAVID G. MIKKOLA LMSW PC
NPI 1376707463
Social Worker - Clinical in Bingham Farms, MI

Active since July 17, 2008
30200 TELEGRAPH RD, SUITE 402, BINGHAM FARMS, MI 48025(248) 644-3200(248) 644-3211 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David G. Mikkola Lmsw Pc NPPES

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

DAVID G. MIKKOLA LMSW PC (NPI 1376707463) is a healthcare organization registered as a clinical in Bingham Farms, Michigan and active in the NPI registry since July 2008. The organization lists David George Mikkola, President, as its authorized official.

NPPES Registry Identity

NPI1376707463
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDAVID G. MIKKOLA PC
Location Address30200 TELEGRAPH RD, SUITE 402Bingham Farms, MI 48025-4502
Mailing Address30200 Telegraph Rd, Suite 402Bingham Farms, MI 48025-4502 · (248) 644-3200 · Fax (248) 644-3211
Fax(248) 644-3211
Organization SubpartNo
Authorized OfficialDavid George MikkolaPresident · (248) 644-3200
Enumeration DateJuly 17, 2008
✔ NPI 1376707463 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 MI · 680103141
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.
30200 TELEGRAPH RD, Bingham Farms, MI 48025

Other Names 1

Other NameDavid G. Mikkola Lmsw Pc

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David G. Mikkola Lmsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20080911000510Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David G. Mikkola Lmsw PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1528258456
999 HAYNES ST 235
Birmingham, MI 48009
(586) 321-0255
✔ PECOS✔ Accepts Medicare4.4 mi

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 David G. Mikkola PC's NPI number?

The NPI number for David G. Mikkola PC is 1376707463. It was assigned to this organization in the NPPES registry on July 17, 2008. The provider is also known as David G. Mikkola Lmsw PC.

Where is David G. Mikkola PC located?

David G. Mikkola PC is located at 30200 Telegraph Rd Suite 402, Bingham Farms, MI 48025. The listed phone number is (248) 644-3200.

What is David G. Mikkola PC's specialty?

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

Is David G. Mikkola PC enrolled in Medicare?

Yes. David G. Mikkola PC is registered in the Medicare PECOS enrollment system.

When is David G. Mikkola PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through David G. Mikkola PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to David G. Mikkola PC. 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.

When was this NPI record last updated?

The NPPES record for David G. Mikkola PC was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.