Individual provider Active NPI

Erin Rae Tancemore, LCSW-C

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1174882153
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14819 Issued in MD
Practice address
2408 Cullum Rd
Bel Air, MD 21015-6523
Phone
(443) 758-4152
NPI assigned
May 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14819 MD Primary

Addresses

Primary practice location

2408 Cullum Rd
Bel Air, MD 21015-6523

Mailing address

7000 Golden Ring Rd Unit 9564
Rosedale, MD 21237-7603
Phone (410) 497-5173

Other practice location 1

201 Booth St
Elkton, MD 21921-5618
Phone (443) 758-4152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1174882153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 GOLDEN RING RD UNIT 9564",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212377603",
            "telephone_number": "410-497-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 CULLUM RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156523",
            "telephone_number": "443-758-4152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Booth St",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219215618",
            "country_code": "US",
            "telephone_number": "443-758-4152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANCEMORE",
        "first_name": "ERIN",
        "middle_name": "RAE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.