Individual provider Active NPI

Deborah Jeanne Mischo, MSW

  • Clinical Social Worker
  • Tacoma, WA
National Provider Identifier
1003957721
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60201229 Issued in WA
Practice address
2522 N Proctor St # 151
Tacoma, WA 98406-5338
Phone
(206) 414-8963
Fax
(206) 420-0332
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25136 CA
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW60201229 WA Primary

Addresses

Primary practice location

2522 N Proctor St # 151
Tacoma, WA 98406-5338

Mailing address

3502 S 7TH St
Tacoma, WA 98405-2221
Phone (253) 363-8484

Other names 1

  • Deborah Jeanne Ernst Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212000063 WA Practitioner - Clinical Social Worker 2264661388 Reassigns benefits to 1 organization
Practice locations: Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1120 Pacific Ave
Suite 100
Tacoma, WA 98402-4330
Phone (206) 414-8963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
25136CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mino Ode' Counseling PLLC Clinical CurrentSince Mar 15, 2025 Accepting new patients

Locations

2522 N Proctor St
Tacoma, WA 98406
Phone (206) 414-8963

1120 Pacific Ave
Ste 100
Tacoma, WA 98402
Phone (206) 414-8963

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1003957721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 S 7TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052221",
            "telephone_number": "253-363-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 N PROCTOR ST # 151",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065338",
            "telephone_number": "206-414-8963",
            "fax_number": "206-420-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHO",
        "first_name": "DEBORAH",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25136",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60201229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "ERNST",
            "middle_name": "JEANNE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.