Active NPI
Erin Impellizzeri
- Clinical Social Worker
- Charles Town, WV
National Provider Identifier
1043853641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00945440
- Practice address
- 21 Cool Spring LN
Charles Town, WV 25414-4648 - Phone
- (301) 807-9275
- NPI assigned
- Oct 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | DP00945440 | WV | Primary |
Addresses
Primary practice location
21 Cool Spring LN
Charles Town, WV 25414-4648
Mailing address
21 Cool Spring LN
Charles Town, WV 25414-4648
Phone (201) 807-9275
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 |
|---|---|---|---|
| DP00945440 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emi Group, PLLC | Clinical | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572048000000",
"number": "1043853641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 COOL SPRING LN",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254144648",
"telephone_number": "201-807-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 COOL SPRING LN",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254144648",
"telephone_number": "301-807-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMPELLIZZERI",
"first_name": "ERIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-26",
"last_updated": "2019-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00945440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charles Town, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.