Erin Marie Gotthardt, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

086776-1 Issued in NY

Practice address

1 Hospital Rd
Walton, NY 13856-1454

Phone

(607) 865-6522

NPI assigned

Dec 4, 2013

Last updated

Apr 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• E.M. Gotthardt, LCSW, PLLC

  dba First Star Psychotherapy

  • Clinical Social Worker
  • Hancock, NY
  • NPI 1174244610
  NPD Authorized official

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1134550957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561454",
            "telephone_number": "607-865-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561454",
            "telephone_number": "607-865-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTHARDT",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086776-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick James Fitzpatrick
• Karen Holland Nicholson Forbes, LCSW-R
• Michael C Free, RPA-C
• Michael J Freeman, DO
• Nicole Gerace, LCSW
• Jane F. Gotthardt, N. P.
• Kailyn Griffin, LPN
• Amanda M Groff, TSSLD
• Kim Evelyn Halaquist, FNP
• Cooper James Hall

• Social Worker in Walton, NY
• Providers in Walton, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.