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
- 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 one year ago.
- 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 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 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
- 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
- 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
- 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 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
- 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
- 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.
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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 | 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992572804 | TAYLOR HENNING LPC-IT Individual | Counselor (Professional) | 2935 UNIVERSAL CT STE 2 OSHKOSH, WI 54904 (920) 718-7223 |
| 1962272104 | STACY JEAN HILSCHER-BLOCH Individual | Social Worker (Clinical) | 2935 UNIVERSAL CT STE 2 OSHKOSH, WI 54904 (920) 718-7223 |
| 1932853314 | CARRIE A WALTERS LPC-IT Individual | Counselor (Professional) | 2935 UNIVERSAL CT STE 2 OSHKOSH, WI 54904 (844) 697-8766 |
| 1336910322 | SARAH ELIZABETH VAN DE MARK Individual | Counselor (Professional) | 2935 UNIVERSAL CT STE 2 OSHKOSH, WI 54904 (844) 697-8766 |
| 1285410845 | ALLISON CARRIE HARWOOD APNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2935 UNIVERSAL CT STE 2 OSHKOSH, WI 54904 (920) 289-2665 |
| 1861133449 | SARAH E BARRON LPC Individual | Counselor (Professional) | 2935 UNIVERSAL CT STE 2 OSHKOSH, WI 54904 (844) 697-8766 |
| 1376314500 | KRISTIN JOY HAVEL LPC-IT Individual | Counselor (Professional) | 2935 UNIVERSAL CT STE 2 OSHKOSH, WI 54904 (920) 718-7223 |
| 1639780943 | JACQUELINE PAIGE BUERGER LPC Individual | Counselor (Professional) | 2935 UNIVERSAL CT STE 2 OSHKOSH, WI 54904 (844) 697-8766 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841961570, enumerated in the NPI registry as an "individual" on September 22, 2021
The provider is located at 2935 Universal Ct Ste 2 Oshkosh, Wi 54904 and the phone number is (844) 697-8766
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider has more than 5 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Chorus. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 22, 2021. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.