Erika Vannesa Mora, MSW, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LW60860628 Issued in WA

Practice address

500 SE Everett Mall Way Ste B202
Everett, WA 98208-8122

Phone

(425) 953-3910

NPI assigned

Aug 23, 2010

Last updated

May 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Erika Vannesa Alejandre Other name

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, 2010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forever Evolving Psychotherapy PLLC

  • Social Worker
  • Everett, WA
  • NPI 1386200764
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1396051710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SE EVERETT MALL WAY STE B202",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982088122",
            "telephone_number": "425-953-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE EVERETT MALL WAY STE B202",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982088122",
            "telephone_number": "425-953-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12835 Bel Red Rd",
            "address_2": "Bldg 100, Ste 14",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052631",
            "country_code": "US",
            "telephone_number": "425-460-7118",
            "fax_number": "425-460-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "ERIKA",
        "middle_name": "VANNESA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60860628",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60860628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "ALEJANDRE",
            "middle_name": "VANNESA",
            "credential": "MSW, LSWAA, LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Aan Moore, RD
• Sederia Ellen Moore
• Shandrea Moore
• Sharon L Moore
• Tess T Moore, MD
• Melissa Morales-Warming
• Catherine Anne Morales
• Job M Moran
• Frances Wella Chel Cabudil Morana, MD
• Melissa Michele Morato, SUDPT

• Social Worker in Everett, WA
• Providers in Everett, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.