MIKKI S PAGE (LCSW) – Clinical Social Worker, NPI 1013058494

MIKKI S PAGE (LCSW) is a healthcare provider. based in Edmonton, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 3984 (KY). The NPI Number for MIKKI S PAGE (LCSW) is 1013058494

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MIKKI S PAGE (LCSW)
NPI
1013058494
Phone
(270) 901-5000
Address
112 SARTIN DR
Enumeration Date
9 February 2007
Last Update Date
23 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
2365767746
Professional Enrollment ID
I20150205001066
Address ID
KY421037956BO380XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

Provider Addresses for MIKKI S PAGE (LCSW)

  • 112 SARTIN DR

    EDMONTON, KY 421298170

    Phone: (270) 901-5000

    Fax: (270) 842-5268

    Type: Mailing

  • 112 SARTIN DR.

    EDMONTON, KY 42129

    Phone: (270) 432-4951

    Fax: (270) 432-5054

    Type: Location

  • 130 SOUTHERN SCHOOL RD

    SOMERSET, KY 425013223

    Phone: (606) 679-4782

    Fax: (606) 678-5296

    Type: Mailing

  • 218 COLUMBIA AVE

    GLASGOW, KY 421412932

    Phone: (270) 651-7070

    Fax: (270) 651-7071

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150205001066IClinical Social WorkerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes14679$0
90837Psychotherapy, 1 hour9046$0
90834Psychotherapy, 45 minutes6641$0
View full utilization report →

Insurance plans in this area (ZIP 42129)

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Reviews

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Frequently asked questions

Where can patients find MIKKI S PAGE (LCSW)'s NPI?
You can confirm MIKKI S PAGE (LCSW) with NPI 1013058494; it appears in the national provider directory.
Is MIKKI S PAGE (LCSW) currently active in the NPI registry?
CMS-published data lists MIKKI S PAGE (LCSW) as an active registrant.
What kind of provider is MIKKI S PAGE (LCSW)?
The page reflects Clinical Social Worker for MIKKI S PAGE (LCSW). Clinical services aligned with this taxonomy classification.
Does MIKKI S PAGE (LCSW) practice in Kentucky?
You will see Edmonton, Kentucky on file for MIKKI S PAGE (LCSW) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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