Colette Mickelsen

Social Worker · Dekalb, IL

Individual Active NPI

NPI number 1861085367

Practice location

12 Health Services Dr
Dekalb, IL 60115-9637
Phone
(815) 756-4875

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NPI record

NPI
1861085367
Entity type
Individual (Type 1)
Enumeration date
February 16, 2021
Last updated
February 16, 2021
Certified
February 16, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —

About Colette Mickelsen

Colette Mickelsen is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 12 Health Services Dr, Dekalb, IL 60115-9637. The NPI number 1861085367 was assigned on February 16, 2021 and the record was last updated on February 16, 2021.

Frequently asked questions

What is the NPI number of Colette Mickelsen?

The NPI number is 1861085367.

What is the phone number of Colette Mickelsen?

The phone number listed for the practice location is (815) 756-4875.

Where is Colette Mickelsen located?

12 Health Services Dr, Dekalb, IL 60115-9637.

What is the taxonomy code for Colette Mickelsen?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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