MIYUME M. MCKINLEY LCSW
NPI 1285812875
Social Worker - Clinical in San Pedro, CA
About Miyume M. Mckinley Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIYUME M. MCKINLEY LCSW (NPI 1285812875) is an individual clinical provider in San Pedro, California, licensed in California (LCSW64555) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miyume M. Mckinley Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Miyume Mckinley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Pedro, CA 90731
- Reassigned Medicare billing, California enrollment
- 4 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Miyume Mckinley's NPI number?
The NPI number for Miyume Mckinley is 1285812875. It was assigned to this individual provider in the NPPES registry on February 5, 2008.
Where is Miyume Mckinley located?
Miyume Mckinley practices at 302 W 5th St Suite 308, San Pedro, CA 90731. The listed phone number is (424) 570-6955.
What is Miyume Mckinley's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Miyume Mckinley enrolled in Medicare?
Yes. Miyume Mckinley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Miyume Mckinley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miyume Mckinley reassigns Medicare benefits to Epiphany Counseling, Consulting & Treatment Services, PC (San Pedro, 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 Miyume Mckinley'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 Miyume Mckinley was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Miyume M. Mckinley, LCSW · NPI 1285812875
Clinical provider in San Pedro, California. Individual provider, active in the CMS NPPES registry since February 5, 2008.
## Identity
- **NPI:** 1285812875 (Entity type: Individual)
- **Enumerated:** February 5, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW64555 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 302 W 5TH ST, SUITE 308, San Pedro, CA 90731-2738
- **Phone:** (424) 570-6955 · **Fax:** (424) 363-1721
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Epiphany Counseling, Consulting & Treatment Services, PC (NPI 1376922328, San Pedro, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 17, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1285812875) · Data from the CMS NPPES public registry.