Active NPI
Timothy T Erhardt, LICSW, LCSW
- Clinical Social Worker
- Jbsa Randolph, TX
National Provider Identifier
1043481716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61723
- Practice address
- 221 3Rd St W BLDG 1040
Jbsa Randolph, TX 78150-4800 - Phone
- (210) 652-8544
- NPI assigned
- Mar 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302228 | MN | |
| Clinical Social Worker | 1041C0700X | 61723 | TX | Primary |
| Clinical Social Worker | 1041C0700X | 3828 | ND | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1564 | ND |
Addresses
Primary practice location
221 3Rd St W BLDG 1040
Jbsa Randolph, TX 78150-4800
Mailing address
221 3Rd St W BLDG 1040559
Jbsa Randolph, TX 78150-4800
Phone (218) 443-1716
Other practice location 1
3351 Roger Brooke Dr.,
Fort Sam Houston, TX 78234-4504
Phone (210) 916-9588
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
| License | State | Type | Specialty |
|---|---|---|---|
| 302228 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 1564 | ND | MD | Addiction (Substance Use Disorder) Counselor |
| 61723 | TX | MD | Professional Counselor |
| 3828 | ND | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1043481716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 3RD ST W BLDG 1040559",
"city": "JBSA RANDOLPH",
"state": "TX",
"postal_code": "781504800",
"telephone_number": "218-443-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 3RD ST W BLDG 1040",
"city": "JBSA RANDOLPH",
"state": "TX",
"postal_code": "781504800",
"telephone_number": "210-652-8544"
}
],
"practiceLocations": [
{
"address_1": "3351 Roger Brooke Dr.,",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-916-9588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERHARDT",
"first_name": "TIMOTHY",
"middle_name": "T",
"credential": "LICSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-20",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "302228",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "61723",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "3828",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ND",
"license": "1564",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Randolph, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.