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MIRIAM A MIXON LCSW
NPI 1750055117
Social Worker - Clinical in Chicago, IL

Active since August 08, 2021PECOS EnrolledAccepts Medicare Assignment
3543 N PULASKI RD, CHICAGO, IL 60641(915) 227-5636 Get Directions Write a Review

NPPES record last updated: August 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miriam A Mixon Lcsw NPPES

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

MIRIAM A MIXON LCSW (NPI 1750055117) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1998).

NPPES Registry Identity

NPI1750055117
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIRIAM A MIXONCredential: LCSW
Location Address3543 N PULASKI RDChicago, IL 60641-3945
Mailing Address900 Pacific Coast Hwy Apt 105Huntington Beach, CA 92648-4859 · (915) 227-5636 · Fax (213) 295-3714
Phone(915) 227-5636
Sole ProprietorYes
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1998
Enumeration DateAugust 8, 2021
NPPES CertifiedAugust 8, 2021
✔ NPI 1750055117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
3543 N PULASKI RD, Chicago, IL 60641
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miriam A Mixon 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.

PECOS PAC ID4587061015
PECOS Enrollment IDI20210924002319
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60641 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 5

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

THE WILLOW CENTER FOR INTEGRATIVE HEALTH PLLC
Social Worker (Clinical)
3543 N PULASKI RD
CHICAGO, IL 60641
Cook County (312) 504-7567
ALISARA CHRISTENSEN LPC
Counselor (Professional)
3543 N PULASKI RD
CHICAGO, IL 60641
Cook County (312) 504-7567
SARAH SMITH
Social Worker
3543 N PULASKI RD
CHICAGO, IL 60641
Cook County (312) 504-7567
MARY CATHERINE BRIDGELAND LPC
Counselor (Professional)
3543 N PULASKI RD
CHICAGO, IL 60641
Cook County (312) 504-7567
LAUREN YARBROUGH
Counselor (Professional)
3543 N PULASKI RD
CHICAGO, IL 60641
Cook County (312) 504-7567

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 Miriam Mixon's NPI number?

The NPI number for Miriam Mixon is 1750055117. It was assigned to this individual provider in the NPPES registry on August 8, 2021.

Where is Miriam Mixon located?

Miriam Mixon practices at 3543 N Pulaski Rd, Chicago, IL 60641. The listed phone number is (915) 227-5636.

What is Miriam Mixon's specialty?

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

Is Miriam Mixon enrolled in Medicare?

Yes. Miriam Mixon 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.

When was this NPI record last updated?

The NPPES record for Miriam Mixon was last updated on August 8, 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.