Erica Swingholm Mireles

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC60551275 Issued in WA

Practice address

401 W Main St Ste 101
Walla Walla, WA 99362-2837

Phone

(509) 301-2720

NPI assigned

Apr 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Privia Medical Group Washington, PLLC

  • Clinic/Center
  • Walla Walla, WA
  • NPI 1780658419
  Medicare reassignment
• Zimmerman Counseling PLLC

  • Community/Behavioral Health Agency
  • Walla Walla, WA
  • NPI 1114468477
  NPD
• Catherine J. Mehn, Licsw

  • Community/Behavioral Health Agency
  • Walla Walla, WA
  • NPI 1114468386
  NPD (past)

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1073908265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST STE 101",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622837",
            "telephone_number": "509-301-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST STE 101",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622837",
            "telephone_number": "509-301-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINGHOLM MIRELES",
        "first_name": "ERICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60551275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jon Sundberg, D.D.S.
• Sunrise Family Counseling, LLC
• Surgical Specialists Field & Newbold PLLC
• Michelle Leanne Swenson, MA LMHC
• Erin Swift, OTR/L
• Switchback Wellness, LLC
• Wesley Sylvester, LICSW
• Robert J Tabacco
• Heather Tacheny
• Michael J Tacheny, MD

• Clinical Social Worker in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.

Verify at the official NPI Registry.