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KELLY FIERRO MIYAKAWA LCSW
NPI 1174907117
Social Worker - Clinical in Murrieta, CA

Active since July 18, 2015PECOS Enrolled
30877 BLOOMFEST ST, MURRIETA, CA 92563(909) 720-3591 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2023, Feb 2, 2023 (2 updates tracked since 2023).

About Kelly Fierro Miyakawa Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY FIERRO MIYAKAWA LCSW (NPI 1174907117) is an individual clinical provider in Murrieta, California, licensed in California (88099) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1174907117
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY FIERRO MIYAKAWACredential: LCSW
Location Address30877 BLOOMFEST STMurrieta, CA 92563
Mailing Address28039 Scott Road, Ste D #283Murrieta, CA 92563-1181 · (909) 720-3591
Phone(909) 720-3591
Sole ProprietorYes
Enumeration DateJuly 18, 2015
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1174907117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 88099
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
30877 BLOOMFEST ST, Murrieta, CA 92563
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Secondary Practice Location 1

Location 1812 W Town and Country RdOrange, CA 92868-4712 · Phone (714) 547-6494

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Fierro Miyakawa Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Miyakawa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
371 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92563 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Miyakawa's NPI number?

The NPI number for Kelly Miyakawa is 1174907117. It was assigned to this individual provider in the NPPES registry on July 18, 2015.

Where is Kelly Miyakawa located?

Kelly Miyakawa practices at 30877 Bloomfest St, Murrieta, CA 92563. The listed phone number is (909) 720-3591.

What is Kelly Miyakawa's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Miyakawa enrolled in Medicare?

Yes. Kelly Miyakawa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Miyakawa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Miyakawa reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Miyakawa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Miyakawa was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.