IndividualActive
Abby Mikita, LLBSW, QIDP
NPI 1205490695 · Social Worker · White Cloud, MI
Provider details
- NPI number
- 1205490695
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LLBSW, QIDP
- Sex
- Female
- Sole proprietor
- No
- License
- 6802090070 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6654 E Fawn Ave
White Cloud, MI 49349-9326
Phone: (616) 414-1068
Fax: (616) 591-5723
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 141004
Grand Rapids, MI 49514-1004
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2019-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.