Nicole Ervine, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1000717 Issued in OH

Practice address

4203 Pennyroyal Rd
Franklin, OH 45005-1143

Phone

(937) 623-7810

NPI assigned

Aug 2, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1124673561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 N WOOD CREEK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454589717",
            "telephone_number": "937-623-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 PENNYROYAL RD",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450051143",
            "telephone_number": "937-623-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVINE",
        "first_name": "NICOLE",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1000717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Amber Elam
• Elite Care LLC
• Josephine Elrod, D.O.
• Emergency Medicine Specialists, Inc.
• Jennifer C Emmett
• Raegan Michelle Field, LPN
• Angie Fitts
• Kacye Jordan Flores
• Franklin City Schools
• Franklin Dental Care & Dentures, LLC

• Social Worker in Franklin, OH
• Providers in Franklin, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.