Ericka Wild, MSW, LICSW in Edmonds, WA - Medicare Clinical Social Worker Provider

Ericka Wild, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Edmonds, Washington. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mindful Therapy Group, P.c. and her current practice location is 525 5th Ave S Ste 102, Edmonds, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 657-5523.

Ericka Wild is licensed to practice in Washington (license number LW61222763) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285155168.

Contact Information

	Ericka Wild, MSW, LICSW
	525 5th Ave S Ste 102, Edmonds, WA 98020-3612
	(206) 657-5523
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ericka Wild
Gender	Female
Speciality	Clinical Social Worker
Experience	7 Years
Location	525 5th Ave S Ste 102, Edmonds, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ericka Wild graduated from medical school in 2017

NPI Data:

NPI Number: 1285155168
Provider Enumeration Date: 06/30/2017
Last Update Date: 03/03/2024

Medicare PECOS Information:

PECOS PAC ID: 0345631974
Enrollment ID: I20211215001770

Medical Identifiers

Medical identifiers for Ericka Wild such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285155168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	130658121 (Wisconsin)	Secondary
1041C0700X	Social Worker - Clinical	LW61222763 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mindful Therapy Group, P.c.	4981872561	198

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ericka Wild allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. Ericka Wild is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ericka Wild, MSW, LICSW 22703 Lakeview Dr Apt E7, Mountlake Terrace, WA 98043-2352 Ph: (206) 657-5523	Ericka Wild, MSW, LICSW 525 5th Ave S Ste 102, Edmonds, WA 98020-3612 Ph: (206) 657-5523

Reviews and Comments

Social Worker in Edmonds, WA

Cheryl Ann Snyder, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21231 Pioneer Way, Edmonds, WA 98026 Phone: 206-755-4178
Carolyn P Maret, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8202 190th St Sw, Edmonds, WA 98026 Phone: 425-469-6229
Noelle Lalario, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 21616 76th Ave W Ste 113, Edmonds, WA 98026 Phone: 425-640-4636 Fax: 425-673-3953
Ms. D. Sarah Peterson, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Main St, Suite F, Edmonds, WA 98020 Phone: 425-771-5432
Rose Ann Rhodes, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21616 76th Ave W, Suite 102, Edmonds, WA 98026 Phone: 425-774-1538 Fax: 425-774-5171
Rae Rome, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21601 76th Ave W, Edmonds, WA 98026 Phone: 206-856-2791
Michael A Weiford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 547 Dayton St, Edmonds, WA 98020 Phone: 425-771-5166 Fax: 425-670-2807

Ericka Wild, MSW, LICSW - Medicare Clinical Social Worker in Edmonds, WA