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ERICKA WILD MSW, LICSW
NPI 1285155168
Social Worker - Clinical in Edmonds, WA

Active since June 30, 2017PECOS Enrolled
525 5TH AVE S STE 102, EDMONDS, WA 98020(206) 657-5523 Get Directions Write a Review

NPPES record last updated: March 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2022, Feb 16, 2022, Nov 19, 2021 and 1 more (4 updates tracked since 2017).

About Ericka Wild Msw, Licsw NPPES

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

ERICKA WILD MSW, LICSW (NPI 1285155168) is an individual clinical provider in Edmonds, Washington, licensed in Washington (LW61222763) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mountlake Terrace, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285155168
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameERICKA WILDCredential: MSW, LICSW
Location Address525 5TH AVE S STE 102Edmonds, WA 98020-3612
Mailing Address22703 Lakeview Dr Apt E7Mountlake Terrace, WA 98043-2352 · (206) 657-5523
Phone(206) 657-5523
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 30, 2017
Last NPPES UpdateMarch 3, 20244 updates tracked since enumeration
NPPES CertifiedMarch 3, 2024
✔ NPI 1285155168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WA · LW61222763✔ Licensed in WI · 130658121
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.
525 5TH AVE S STE 102, Edmonds, WA 98020
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Secondary Practice Location 1

Location 122703 Lakeview Dr Apt E7Mountlake Terrace, WA 98043-2352 · Phone (206) 657-5523

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ericka Wild Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345631974
PECOS Enrollment IDI20211215001770
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 Ericka Wild reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Therapy Group PC
2.6 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 98020 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.

Other Providers at the Same Location NPPES

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

AIYANA AISHA TARYN WHITE LMT
Massage Therapist
525 5TH AVE S STE 102
EDMONDS, WA 98020
Snohomish County (425) 279-9859

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 Ericka Wild's NPI number?

The NPI number for Ericka Wild is 1285155168. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Ericka Wild located?

Ericka Wild practices at 525 5th Ave S Ste 102, Edmonds, WA 98020. The listed phone number is (206) 657-5523.

What is Ericka Wild's specialty?

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

Is Ericka Wild enrolled in Medicare?

Yes. Ericka Wild is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ericka Wild's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ericka Wild 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 Ericka Wild's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ericka Wild accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ericka Wild 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 Ericka Wild was last updated on March 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.