Erica Jane Canaday, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011198 Issued in VA

Practice address

3900 Llewellyn Ave
Norfolk, VA 23504-1203

Phone

(888) 365-6271

NPI assigned

Aug 27, 2019

Last updated

Apr 4, 2022By the provider in NPPES

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 identifiers 1

Other names 1

• Erica Jane Porter Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VA

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  Medicare reassignment Care Compare group NPD
• Mid Atlantic Long Term Specialty Care LLC

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  Medicare reassignment NPD
• SE Virginia Value Based Care, LLC

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  • NPI 1225720501

  Single Specialty

  Medicare reassignment NPD
• Soul Path Therapy, PLLC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1932079894
  NPD Authorized official

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1114575750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4787 DARBY CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643039",
            "telephone_number": "757-335-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LLEWELLYN AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041203",
            "telephone_number": "888-365-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADAY",
        "first_name": "ERICA",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "0904011198",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ecanaday@midatlantic.net",
            "affiliation": "Y",
            "endpointDescription": "work email address",
            "affiliationName": "Mid Atlantic Long Term Care Specialists LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6160 Kempsville Cir Ste 325A",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235023933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ecanaday@midatlantic.net",
            "affiliation": "Y",
            "endpointDescription": "work email address",
            "affiliationName": "Mid Atlantic Long Term Care Specialists LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6160 Kempsville Cir Ste 325A",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235023933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "PORTER",
            "middle_name": "JANE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Andrew Campbell, MD
• Sarah Elizabeth Campbell
• Thomas Richard Campbell, MS, LAT, ATC
• Can Community Health, Inc.
• Shelley Canada, DPT
• Ebony Shanay Canady, LCSW
• Robert Alan Candler, DDS
• Bernardo Canga, MMT
• David Lee Cannon Jr.
• Steven L Cantarutti, CRNA

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.