Ms Kim Rae Mikkelsen, MSW, LCSW is a
Case Manager/care Coordinator based in Durham, North Carolina. Ms Kim Rae Mikkelsen is licensed to practice in * (Not Available) (license number ) and her current practice location is
115 Market St, Suite 201, Durham, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 560-5600.
NPI number for Ms Kim Rae Mikkelsen is 1932233079 and her current mailing address is 708 Valley Dr, Durham, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932233079.
Healthcare Provider's Profile
| Full Name | Ms Kim Rae Mikkelsen |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 115 Market St, Durham, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932233079
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Kim Rae Mikkelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932233079 | NPI | - | NPPES |
| 139CP | Other | NC | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | C003728 (North Carolina) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kim Rae Mikkelsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kim Rae Mikkelsen, MSW, LCSW
708 Valley Dr,
Durham, NC 27704-1477
Ph: (919) 477-3642 | Ms Kim Rae Mikkelsen, MSW, LCSW
115 Market St, Suite 201,
Durham, NC 27701-3251
Ph: (919) 560-5600 |
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