Ericka Wild, MSW, LICSW | |
525 5th Ave S Ste 102, Edmonds, WA 98020-3612 | |
(206) 657-5523 | |
Not Available |
Full Name | Ericka Wild |
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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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285155168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 130658121 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | LW61222763 (Washington) | Primary |
Entity Name | Mindful Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
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 |
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 | |
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 | |
Mr. Jake T Kim, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7320 216th St Sw, Suite 200, Edmonds, WA 98026 Phone: 425-640-4900 Fax: 425-640-4919 |