Eriyoma Ewharekuko, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014535 Issued in NC

Practice address

1339 Briar Creek Rd Apt 7
Charlotte, NC 28205-8222

Phone

(314) 255-5907

NPI assigned

Jun 19, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Remi Ewharekuko Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• TN PPO
• TN PPO C-SNP
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1003432634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 BRIAR CREEK RD APT 7",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282058222",
            "telephone_number": "314-255-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 BRIAR CREEK RD APT 7",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282058222",
            "telephone_number": "314-255-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWHAREKUKO",
        "first_name": "ERIYOMA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REMI",
            "last_name": "EWHAREKUKO",
            "credential": "LCSWA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Evolve Collaborative PLLC
• Evolve Health & Wellness, PLLC
• Evolve Support Services, LLC
• Evolving to Independence
• Peter Jeffrey Ewert, PHD
• Juliette Harris Ewing, BCBA
• Paul Maurice Ewing
• Shaniya Ewing
• Kayanna Ewings
• Guerlande Exalien, COTA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.