Active NPI
Erin Haverkamp
- Clinical Social Worker
- Mooresville, NC
National Provider Identifier
1003282021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 122 Gateway Blvd Ste C
Mooresville, NC 28117-5544 - Phone
- (704) 360-3637
- Fax
- (704) 360-3637
- NPI assigned
- Aug 13, 2015
- Last updated
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
122 Gateway Blvd Ste C
Mooresville, NC 28117-5544
Mailing address
PO Box 4962
Mooresville, NC 28117-4962
Phone (704) 360-3637
Other practice location 1
5050 Madison Rd
Cincinnati, OH 45227-1491
Phone (513) 272-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asheli Thompson | Current | Accepting new patients |
Locations
122 Gateway Blvd
Ste C
Mooresville, NC 28117
Phone (980) 766-1030
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Integrative Wellness Solutions
- Community/Behavioral Health Agency
- Mooresville, NC
- NPI 1073955621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1003282021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4962",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281174962",
"telephone_number": "704-360-3637",
"fax_number": "704-360-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 GATEWAY BLVD STE C",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175544",
"telephone_number": "704-360-3637",
"fax_number": "704-360-3637"
}
],
"practiceLocations": [
{
"address_1": "5050 Madison Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452271491",
"country_code": "US",
"telephone_number": "513-272-2800",
"fax_number": "513-631-7484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAVERKAMP",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.