Erica Blackwelder Harwell, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Sophia, NC

NPI 1003176751 · NPPES record last updated Mar 13, 2025

Key facts

NPI
1003176751
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
10314 (NC)
Practice address
4997 Leigh LN
Sophia, NC 27350-9030
Phone
(336) 870-0551
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10314NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Kids Therapy Services, PLLC Speech-Language Pathologist Current
since Mar 20, 2025
Accepting new patients
Speechcenter LLC, D/B/a Sidekick Therapy Partners Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10314 NC Yes

Addresses

Primary practice location

4997 Leigh LN
Sophia, NC 27350-9030

Mailing address

4997 Leigh LN
Sophia, NC 27350-9030
Phone (336) 870-0551

Other names

  • Miss Erica Ann Blackwelder Former name

Other providers in Sophia, NC

All providers in Sophia, NC · Speech-Language Pathologist in North Carolina

Sources for this page

Verify at the official NPI Registry.