Mark John Mikula, LCSW | |
9250 Columbia Ave Ste 2e, Munster, IN 46321-3530 | |
(219) 595-0043 | |
(219) 237-2894 |
Full Name | Mark John Mikula |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 9250 Columbia Ave Ste 2e, Munster, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679703540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34011055A (Indiana) | Primary |
Entity Name | Nwi Clarity Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619412160 PECOS PAC ID: 5991082976 Enrollment ID: O20170428000976 |
Mailing Address | Practice Location Address |
---|---|
Mark John Mikula, LCSW 9250 Columbia Ave Ste 2e, Munster, IN 46321-3530 Ph: (219) 595-0043 | Mark John Mikula, LCSW 9250 Columbia Ave Ste 2e, Munster, IN 46321-3530 Ph: (219) 595-0043 |
Megan Nicole Rigual, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321 Phone: 219-595-0043 Fax: 219-237-2894 | |
Simone Kendall Bolden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321 Phone: 219-595-0043 Fax: 219-237-2894 | |
Brendan Jameyfield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8955 Columbia Ave, Munster, IN 46321 Phone: 219-301-2815 | |
Annalaura Goodman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321 Phone: 219-595-0043 Fax: 219-237-2894 | |
Ms. Chandra Nicole Lyles, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8148 Columbia Ave, Munster, IN 46321 Phone: 708-513-5104 | |
Mrs. Barbara Weisbaum Rozenfeld, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Macarthur Blvd, Ste 404, Munster, IN 46321 Phone: 219-836-2995 Fax: 219-836-4075 | |
Kathy Taylor Little, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8955 Columbia Ave, Munster, IN 46321 Phone: 219-923-8110 |