Active NPI
Deborah Jeanne Mischo, MSW
- Clinical Social Worker
- Tacoma, WA
National Provider Identifier
1003957721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60201229
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 25136 | CA | |
| Clinical Social Worker | 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
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
Enrollment records 1
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25136 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mino Ode' Counseling PLLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Tacoma, WA
- NPI 1487448502
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.