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ERMA LUS MEDINA LCSW
NPI 1265006092
Social Worker - Clinical in Grandview, WA

Active since May 17, 2021PECOS Enrolled
605 PARK AVE, GRANDVIEW, WA 98930(509) 830-4624 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Erma Lus Medina Lcsw NPPES

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

ERMA LUS MEDINA LCSW (NPI 1265006092) is an individual clinical provider in Grandview, Washington, licensed in Washington (LW60906253) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265006092
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameERMA LUS MEDINACredential: LCSW
Location Address605 PARK AVEGrandview, WA 98930-1534
Mailing Address605 Park AveGrandview, WA 98930-1534 · (509) 830-4624
Phone(509) 830-4624
Sole ProprietorYes
Enumeration DateMay 17, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1265006092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW60906253
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.
605 PARK AVE, Grandview, WA 98930
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erma Lus Medina 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 Erma Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Therapy Group PC
156 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

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 98930 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 Erma Medina's NPI number?

The NPI number for Erma Medina is 1265006092. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Erma Medina located?

Erma Medina practices at 605 Park Ave, Grandview, WA 98930. The listed phone number is (509) 830-4624.

What is Erma Medina's specialty?

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

Is Erma Medina enrolled in Medicare?

Yes. Erma Medina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Erma Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erma Medina reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). 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 Erma Medina'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 Erma Medina was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.