MRS. SANDRA ANNE MILTON LICSW
NPI 1700863669
Social Worker - Clinical in Tacoma, WA
NPI Status: Active since December 30, 2005
Contact Information
1919 N PEARL ST
STE C-1
TACOMA, WA
ZIP 98406
Phone: (253) 752-1860
Fax: (253) 752-1890
- Individual
- Female
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About SANDRA MILTON
This page provides the complete NPI Profile along with additional information for Sandra Milton, a provider established in Tacoma, Washington with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1700863669 assigned on December 2005. The practitioner's primary taxonomy code is 1041C0700X with license number LW00004282 (WA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1700863669
- Provider Name
- MRS. SANDRA ANNE MILTON LICSW
- Other Name
- SANDRA ANNE EDELSTEIN
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1919 N PEARL ST STE C-1 TACOMA, WA 98406
- Location Phone
- (253) 752-1860
- Location Fax
- (253) 752-1890
- Mailing Address
- 5601 N 14TH ST TACOMA, WA 98406
- Mailing Phone
- (253) 752-1860
- Mailing Fax
- (253) 752-1890
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-30-2005
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical social worker like Sandra Milton 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.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Sandra Milton opted out of Medicare effective on 04-01-2016 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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.
- LW00004282
- License State
- WA
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sandra Milton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2016
Opt-Out End Date: 04-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 98406 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $57.27
- Maximum New Patient Price $172.8
- Average New Patient Copayment $0
- Minimum New Patient Copayment $14.31
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.29
- Minimum Established Patient Price $18.56
- Maximum Established Patient Price $141.11
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.64
- Maximum Established Patient Copayment $35.27
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 7 | 0 | 0 | 8 | 6 | 3 | 6 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 16 | 6 | 6 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 6 + 6 + 6 + 6 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1700863669 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689674731 | MRS. CAROLYN JEANNE WITHROW LMHC Individual | Counselor (Mental Health) | 1919 N PEARL ST SUITE C-1 TACOMA, WA 98406 (253) 752-1860 |
| 1063405926 | MRS. CAROLE MARIE ANDERSON LMFT Individual | Marriage & Family Therapist | 1919 N PEARL ST STE C-1 TACOMA, WA 98406 (253) 752-1860 |
| 1215921754 | JAMES ALBERT WILLIAMS LMHC Individual | Counselor (Mental Health) | 1919 N PEARL ST SUITE C1 TACOMA, WA 98406 (253) 752-1860 |
| 1265428783 | MRS. KAROL KAY MAUSS LMHC Individual | Counselor (Mental Health) | 1919 N PEARL ST C-1 TACOMA, WA 98406 (253) 752-1860 |
| 1316933930 | MRS. SONYA ANN-MARIE DEBOER MC, LMFT Individual | Marriage & Family Therapist | 1919 N PEARL ST STE C1, PEARL COUNSELING ASSOCIATES TACOMA, WA 98406 (253) 752-1860 |
| 1952366783 | DR. MARK A HALEY D.C. Individual | Chiropractor (Sports Physician) | 1919 N PEARL ST A4 TACOMA, WA 98406 (253) 761-0930 |
| 1548213069 | MR. BRIAN R TINGLEY M.S. Individual | Marriage & Family Therapist | 1919 N PEARL ST SUITE C-1 TACOMA, WA 98406 (253) 752-1860 |
| 1306855150 | DR. SYLVIA KIM-SIODA DDS Individual | Dentist (General Practice) | 1919 N PEARL ST SUITE A5 TACOMA, WA 98406 (253) 759-7941 |
| 1194801654 | DR. PAUL SIODA DDS Individual | Dentist (General Practice) | 1919 N PEARL ST SUITE A-5 TACOMA, WA 98406 (253) 759-7941 |
| 1316128382 | HALEY CHIROPRACTIC P.S. Organization | Chiropractor | 1919 N PEARL ST SUITE #A-4 TACOMA, WA 98406 (253) 761-0930 |
| 1730337916 | MS. ERIN ELIZABETH CAMMON LMP Individual | Community Health Worker | 1919 N PEARL ST SUITE A4 TACOMA, WA 98406 (253) 761-0930 |
| 1275924623 | PEARL PROFESSIONAL MASSAGE Organization | Specialist | 1919 N PEARL ST A4 TACOMA, WA 98406 (253) 761-0930 |
| 1780121053 | BRIANNA WHITTENBERG Individual | Specialist | 1919 N PEARL ST #A4 TACOMA, WA 98406 (253) 761-0930 |
| 1477549384 | KAREN R BREAM MA LMHC Individual | Counselor (Mental Health) | 1919 N PEARL ST SUITE C1 TACOMA, WA 98406 (253) 752-1860 |
| 1972611002 | WESTGATE DENTAL ARTS, INC Organization | Dentist (General Practice) | 1919 N PEARL ST SUITE A-5 TACOMA, WA 98406 (253) 759-7941 |
| 1699820365 | ALYCE O'BRIEN & JACK BATJER, D.D.S. PLLC Organization | Dentist (General Practice) | 1919 N PEARL ST TACOMA, WA 98406 (253) 756-2100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700863669, enumerated in the NPI registry as an "individual" on December 30, 2005
The provider is located at 1919 N Pearl St Ste C-1 Tacoma, Wa 98406 and the phone number is (253) 752-1860
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $71.29 and an average copayment of 17.82. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on April 01, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 01, 2026.
This NPI record was last updated on December 30, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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