MRS. VIVIAN TEJERA LICSW, LCSW
NPI 1184034050
Social Worker - Clinical in Kirkland, WA

Active since May 01, 2014PECOS Enrolled
12025 115TH AVE NE STE 200, KIRKLAND, WA 98034(425) 821-1810 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2026, May 9, 2025, May 15, 2019 (3 updates tracked since 2019).

About Mrs. Vivian Tejera Licsw, Lcsw NPPES

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

MRS. VIVIAN TEJERA LICSW, LCSW (NPI 1184034050) is an individual clinical provider in Kirkland, Washington, licensed in Washington (LW61670578) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184034050
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. VIVIAN TEJERACredential: LICSW, LCSW
Location Address12025 115TH AVE NE STE 200Kirkland, WA 98034-6935
Mailing Address12025 115th Ave Ne Ste 200Kirkland, WA 98034-6935
Sole ProprietorYes
Enumeration DateMay 1, 2014
Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1184034050 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
Licenses✔ Licensed in WA · LW61670578✔ Licensed in FL · SW20424✔ Licensed in OR · L17141✔ Licensed in NC · C018302
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 ListedDevelopmental TherapistTaxonomy 222Q00000X
12025 115TH AVE NE STE 200, Kirkland, WA 98034

Other Names 1

Former Name (1)Vivian Lacy

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Vivian Tejera Licsw, 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 Reassignments

2

Medicare enrollment records show Vivian Tejera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
5406 HOOVER BLVD STE 18
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
31 services24 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
28 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 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 $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
12025 115TH AVE NE STE 200
KIRKLAND, WA 98034
Counselor (Mental Health)
12025 115TH AVE NE STE 200
KIRKLAND, WA 98034
Psychologist
12025 115TH AVE NE STE 200
KIRKLAND, WA 98034
Marriage & Family Therapist
12025 115TH AVE NE STE 200
KIRKLAND, WA 98034
Marriage & Family Therapist
12025 115TH AVE NE STE 200
KIRKLAND, WA 98034
Counselor (Mental Health)
12025 115TH AVE NE STE 200
KIRKLAND, WA 98034
Social Worker
12025 115TH AVE NE STE 200
KIRKLAND, WA 98034
Nurse Practitioner (Psychiatric/Mental Health)
12025 115TH AVE NE STE 200
KIRKLAND, WA 98034

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 Vivian Tejera's NPI number?

The NPI number for Vivian Tejera is 1184034050. It was assigned to this individual provider in the NPPES registry on May 1, 2014. The provider is also known as Vivian Lacy.

Where is Vivian Tejera located?

Vivian Tejera practices at 12025 115th Ave NE Ste 200, Kirkland, WA 98034. The listed phone number is (425) 821-1810.

What is Vivian Tejera's specialty?

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

Is Vivian Tejera enrolled in Medicare?

Yes. Vivian Tejera is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vivian Tejera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Tejera reassigns Medicare benefits to 2 organizations: Ace Behavioral Health LLC (Tampa, FL) and Mcr Health, Inc. (Parrish, FL). Each 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 Vivian Tejera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vivian Tejera accept?

Health plans from BridgeSpan Health Company, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Vivian Tejera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivian Tejera was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.