Michael Mickelson, LCSW
NPI 1780928093 · Clinical Social Worker · Cheyenne, WY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Mickelson, LCSW is a Clinical Social Worker provider in Cheyenne, WY (NPI 1780928093).
Provider details
- NPI number
- 1780928093
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LCSW1145 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1818 Went Ave Ste aMishawaka, IN 46545-6482Phone: (574) 254-0229Fax: (574) 254-0188
Registry dates
- Enumerated
- 2012-11-27
- Last updated
- 2020-04-27
- Certified
- 2020-04-27
Frequently asked questions
- What is Michael Mickelson's NPI number?
- Michael Mickelson's National Provider Identifier (NPI) is 1780928093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Mickelson's specialty?
- Michael Mickelson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Michael Mickelson located?
- Michael Mickelson's practice location on file with NPPES is 2360 E Pershing Blvd, Cheyenne, WY 82001-5356.
- What is Michael Mickelson's phone number?
- The practice phone number listed in the NPPES registry for Michael Mickelson is (307) 778-7550.
- Does Michael Mickelson accept Medicare?
- Michael Mickelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Mickelson's NPI active?
- Yes — Michael Mickelson's NPI (1780928093) is active in the NPPES registry as of the last update on 2020-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.