Individual provider Active NPI

Ericka Thompson, LCSW-C, LICSW

  • Clinical Social Worker
  • Annapolis, MD
National Provider Identifier
1023832755
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27433 Issued in MD
Practice address
1910 Towne Centre Blvd Ste 250
Annapolis, MD 21401-3599
Phone
(202) 810-2347
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27433 MD Primary
Clinical Social Worker 1041C0700X LC200003363 DC

Addresses

Primary practice location

1910 Towne Centre Blvd Ste 250
Annapolis, MD 21401-3599

Mailing address

3504 Kings Point Rd
Randallstown, MD 21133-1606

Other practice location 1

601 Pennsylvania Ave NW Ste 900
Washington, DC 20004-3647
Phone (202) 810-2347

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC200003363DCMDClinical Social Worker
27433MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1023832755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 KINGS POINT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 TOWNE CENTRE BLVD STE 250",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013599",
            "telephone_number": "202-810-2347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Pennsylvania Ave NW Ste 900",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200043647",
            "country_code": "US",
            "telephone_number": "202-810-2347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ERICKA",
        "credential": "LCSW-C, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27433",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200003363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.