MICHAEL MICKELSON LCSW
NPI 1780928093
Social Worker - Clinical in Cheyenne, WY

Q: What is Michael Mickelson's NPI number?

The NPI number for Michael Mickelson is 1780928093. It was assigned to this individual provider in the NPPES registry on November 27, 2012.

Q: What is Michael Mickelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Mickelson was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 27, 2012PECOS Enrolled

2360 E PERSHING BLVD, CHEYENNE, WY 82001(307) 778-7550 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2017, Sep 21, 2016, Aug 26, 2016 (3 updates tracked since 2016).

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About Michael Mickelson Lcsw NPPES

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

MICHAEL MICKELSON LCSW (NPI 1780928093) is an individual clinical provider in Cheyenne, Wyoming, licensed in Wyoming (LCSW1145) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1780928093

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMICHAEL MICKELSONCredential: LCSW

Location Address2360 E PERSHING BLVDCheyenne, WY 82001-5356

Mailing Address2360 E Pershing BlvdCheyenne, WY 82001-5356 · (307) 778-7550

Phone(307) 778-7550

Sole ProprietorNo

Enumeration DateNovember 27, 2012

Last NPPES UpdateApril 27, 20203 updates tracked since enumeration

NPPES CertifiedApril 27, 2020

✔ NPI 1780928093 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 WY · LCSW1145

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.

2360 E PERSHING BLVD, Cheyenne, WY 82001

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Secondary Practice Location 1

Location 11818 Went Ave Ste AMishawaka, IN 46545-6482 · Phone (574) 254-0229 · Fax (574) 254-0188

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Mickelson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 82001 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 $56.42 – $170.72

Typical copayment $0.00 (range $14.10 – $42.68)

Most-billed visit code NA

Established Patient

$70.32 typical visit price

range $18.19 – $139.32

Typical copayment $17.58 (range $4.54 – $34.83)

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 20

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

CORINNE LEA HOGG LCSW

Social Worker (Clinical)