Individual provider Active NPI

Erin Colleen Slattery, LCSW

  • Clinical Social Worker
  • Orangevale, CA
National Provider Identifier
1124103346
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28517 Issued in CA
Practice address
8666 Blythe Ave
Orangevale, CA 95662-3903
Phone
(916) 312-1845
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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
Clinical Social Worker 1041C0700X 28517 CA Primary

Addresses

Primary practice location

8666 Blythe Ave
Orangevale, CA 95662-3903

Mailing address

8666 Blythe Ave
Orangevale, CA 95662-3903
Phone (916) 312-1845

Other practice location 1

4612 Roseville Rd
North Highlands, CA 95660-5175
Phone (916) 344-0199

Other names 1

  • Ms. Erin Colleen Mockler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20200727003309 CA Practitioner - Clinical Social Worker 3072944735 Practice locations: Roseville, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

775 Sunrise Ave
Suite 110
Roseville, CA 95661-4527
Phone (279) 246-9028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28517CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Sunrise Psychological Services PastSince Jan 1, 2022 Accepting new patients
Fall Creek Counceling Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erinslattery@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1124103346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8666 BLYTHE AVE",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956623903",
            "telephone_number": "916-312-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8666 BLYTHE AVE",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956623903",
            "telephone_number": "916-312-1845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4612 Roseville Rd",
            "address_purpose": "LOCATION",
            "city": "North Highlands",
            "state": "CA",
            "postal_code": "956605175",
            "country_code": "US",
            "telephone_number": "916-344-0199",
            "fax_number": "916-344-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "ERIN",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MOCKLER",
            "middle_name": "COLLEEN",
            "prefix": "MS.",
            "credential": "NA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orangevale, CA

Sources for this page

Verify at the official NPI Registry.