| Mrs Erica Swingholm Mireles, | |
|
401 W Main St Ste 101, Walla Walla, WA 99362-2837 | |
| (509) 301-2720 | |
| Not Available |
| Full Name | Mrs Erica Swingholm Mireles |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 24 Years |
| Location | 401 W Main St Ste 101, Walla Walla, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073908265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SC60551275 (Washington) | Primary |
| Entity Name | Privia Medical Group Washington PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780658419 PECOS PAC ID: 2264320837 Enrollment ID: O20040309000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Erica Swingholm Mireles, 401 W Main St Ste 101, Walla Walla, WA 99362-2837 Ph: (509) 301-2720 | Mrs Erica Swingholm Mireles, 401 W Main St Ste 101, Walla Walla, WA 99362-2837 Ph: (509) 301-2720 |
Steven Gilbert Dalgleish, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1151 Hobson St, Walla Walla, WA 99362 Phone: 509-386-4807 |
Mrs. Laura Grace Reiber, LICSW ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2330 Eastgate St Ste 207, Walla Walla, WA 99362 Phone: 509-876-4009 Fax: 509-946-1430 |
Rodney John Opsal, A.C.S.W., L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 Fax: 509-527-6113 |
Dawn Irene Avery, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 |
Ms. Teresa Wiedemann, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 139 Russet Rd, Walla Walla, WA 99362 Phone: 509-520-4370 |
Laura Marie Dixson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr Bldg 135, Walla Walla, WA 99362 Phone: 509-525-5200 |
Michelle I Cardenas, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 122 N Wilbur Ave, Walla Walla, WA 99362 Phone: 509-200-0666 |