ERICA E MICELE LCSW
NPI 1841961570
Social Worker - Clinical in Oshkosh, WI

NPI Status: Active since September 22, 2021

Contact Information

2935 UNIVERSAL CT STE 2
OSHKOSH, WI
ZIP 54904
Phone: (844) 697-8766
Fax: (920) 416-8581

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 5
Social Worker
Clinical
Accepts Insurance
Accepts Medicare Approved Payment

About ERICA MICELE

This page provides the complete NPI Profile along with additional information for Erica Micele, a provider established in Oshkosh, Wisconsin with a medical specialization in Social Worker, focusing in clinical and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1841961570 assigned on September 2021. The practitioner's primary taxonomy code is 1041C0700X with license number 11232 (WI). The provider is registered as an individual and her NPI record was last updated February 2025.

NPI: 1841961570
Provider Name: ERICA E MICELE LCSW
Gender: Female
Entity Type: Individual
Location Address: 2935 UNIVERSAL CT STE 2 OSHKOSH, WI 54904
Location Phone: (844) 697-8766
Location Fax: (920) 416-8581
Mailing Address: 1900 SILVER LAKE RD NW STE 110 NEW BRIGHTON, MN 55112
Mailing Phone: (651) 628-9566
Mailing Fax: (920) 416-8581
Medical School Name: OTHER
Graduation Year: 2021
Is Sole Proprietor?: No
Enumeration Date: 09-22-2021
Last Update Date: 02-18-2025
Code Navigator

A clinical social worker like Erica Micele is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Social Worker Clinical
Taxonomy Code: 1041C0700X
Type: Behavioral Health & Social Service Providers
License No.: 11232
License State: WI
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	104100000X	Behavioral Health & Social Service Providers	Social Worker	132445 (WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Chorus Community Health Plans

Chorus Bronze Complete - EPO
Chorus Bronze HDHP - EPO
Chorus Catastrophic - EPO
Chorus Core Bronze - EPO
Chorus Core Gold - EPO
Chorus Core Silver - EPO
Chorus Elite Gold - EPO
Chorus Gold - EPO
Chorus Silver - EPO
Chorus Silver Select - EPO

Dean Health Plan

Prevea360 Bronze HSA - HMO
Prevea360 Bronze Share - HMO
Prevea360 Catastrophic - HMO
Prevea360 Expanded Bronze Standard - HMO
Prevea360 Gold HSA - HMO
Prevea360 Gold Share - HMO
Prevea360 Gold Standard - HMO
Prevea360 Silver $0 Copay PCP Visits - HMO
Prevea360 Silver Share - HMO
Prevea360 Silver Standard - HMO

HealthPartners

Atlas $1,000 Gold - PPO
Atlas $1,500 Standard Gold - PPO
Atlas $2,650 Plus Silver - PPO
Atlas $3,500 HSA Silver - PPO
Atlas $5,000 Standard Silver - PPO
Atlas $6,500 Plus Bronze - PPO
Atlas $7,500 Standard Bronze - PPO
Atlas $8,200 HSA Bronze - PPO
Atlas $9,200 Catastrophic - PPO
Robin Oak $1,000 Gold - PPO

Medica

Engage by Medica Bronze HSA - EPO
Engage by Medica Bronze Share - EPO
Engage by Medica Expanded Bronze Standard - EPO
Engage by Medica Gold $0 Copay PCP Visits - EPO
Engage by Medica Gold Share - EPO
Engage by Medica Gold Standard - EPO
Engage by Medica Silver $0 Copay PCP Visits - EPO
Engage by Medica Silver Share - EPO
Engage by Medica Silver Standard - EPO
Essentia Choice Care with Medica Bronze HSA - EPO

Quartz

QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
QUARTZ ONE ACHIEVE BRONZE (VISION) $7250 HSA - IL - HMO
QUARTZ ONE ACHIEVE BRONZE (VISION) $9100 DED FLAT RX COPAYS - IL - HMO
QUARTZ ONE ACHIEVE BRONZE (VISION) STANDARD EASY PRICING - IL - HMO
QUARTZ ONE ACHIEVE CATASTROPHIC (VISION) - IL - HMO
QUARTZ ONE ACHIEVE GOLD (DENTAL & VISION) $2500 DED - IL - HMO
QUARTZ ONE ACHIEVE GOLD (VISION) $2500 DED - IL - HMO
QUARTZ ONE ACHIEVE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - IL - HMO
QUARTZ ONE ACHIEVE GOLD MAINTENANCE (VISION) $500 DED - IL - HMO

Security Health Plan

Premier $1,500 - 25% - HMO
Premier $3,500 - 30% - HMO
Premier $4,100 HDHP - HMO
Premier $5,000 - 40% - HMO
Premier $6,200 HDHP - HMO
Premier $7,500 - HMO
Premier $9,200 - HMO
Premier Protection - HMO
Select $1,500 - 25% - EPO
Select $3,500 - 30% - EPO

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
UHC Bronze Copay Focus (No Referrals) - HMO
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
UHC Bronze Standard (No Referrals) - HMO
UHC Bronze Value (Rx Copay, No Referrals) - HMO
UHC Bronze Value HSA (No Referrals) - HMO
UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
UHC Gold Advantage (No Referrals) - HMO
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Erica Micele is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 3476907304
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20231013001968
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	8	4	1	9	6	1	5	7	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	8	1	18	6	2	5	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 1 + 8 + 6 + 2 + 5 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1841961570 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 8 providers are registered at the same or nearby location.

TAYLOR HENNING LPC-IT

Counselor

(Professional)