Organization Active NPI

Ellen Smith-Erb LCSW LLC

  • Clinical Social Worker
  • Yarmouth, ME
National Provider Identifier
1104539279
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELLEN SMITH-ERB LCSW LLC
Practice address
273 Main St
Yarmouth, ME 04096-6753
Phone
(207) 847-0408
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Ellen Smith-Erb, MSW
Title
LCSW
Phone
(207) 847-0408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

273 Main St
Yarmouth, ME 04096-6753

Mailing address

273 Main St
Yarmouth, ME 04096-6753
Phone (207) 847-0408

Other names 1

  • Ellen Smith-Erb LCSW Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1104539279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966753",
            "telephone_number": "207-847-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966753",
            "telephone_number": "207-847-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN SMITH-ERB LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "SMITH-ERB",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "207-847-0408",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellen Smith-Erb LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.