Erica Ann Buffington, LMSW
Individual provider Active NPI Social Worker · Mount Vernon, IA
NPI 1245900240 · NPPES record last updated Sep 20, 2021
Key facts
- NPI
- 1245900240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 007930 (IA)
- Practice address
- 417 1St Ave SE
Mount Vernon, IA 52314-1611 - Phone
- (815) 762-0782
- NPI assigned
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007930 | IA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 007930 | IA | Yes |
Addresses
Primary practice location
417 1St Ave SE
Mount Vernon, IA 52314-1611
Mailing address
417 1St Ave SE
Mount Vernon, IA 52314-1611
Phone (815) 762-0782
Other practice location 1
415 Haganman Ln
Solon, IA 52333-9760
Phone (815) 762-0782
Other providers in Mount Vernon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.