Individual provider Active NPI

Erica Michelle Scannell, LICSW

  • Clinical Social Worker
  • Allyn, WA
National Provider Identifier
1255716239
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
014032 Issued in CT
Practice address
21 E Wheelwright St
Allyn, WA 98524-7787
Phone
(717) 500-1831
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008981 GA
Clinical Social Worker 1041C0700X CW024198 PA
Clinical Social Worker 1041C0700X LW60970339 WA
Social Worker 104100000X SW132408 PA
Clinical Social Worker 1041C0700X 014032 CT Primary
Clinical Social Worker 1041C0700X 14702 SC

Addresses

Primary practice location

21 E Wheelwright St
Allyn, WA 98524-7787

Mailing address

1107 Mossy Rock Dr
Summerville, SC 29485-7878
Phone (540) 290-9405

Other practice location 1

1353 Gold Star Hwy
Groton, CT 06340-2739
Phone (860) 629-8270

Other practice location 2

1107 Mossy Rock Dr
Summerville, SC 29485-7878
Phone (540) 290-9405

Other identifiers 1

IdentifierTypeStateIssuer
2204889MedicaidWA

Other names 1

  • Erica Michelle Dickey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20260210000607 CT Practitioner - Clinical Social Worker 9830678960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1290 Silas Deane Hwy
Wethersfield, CT 06109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW132408PAMDSocial Worker
014032CTMDClinical Social Worker
CSW008981GAMDClinical Social Worker
CW024198PAMDClinical Social Worker
LW60970339WAMDClinical Social Worker
14032CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Natchaug Hospital, Inc. CurrentSince Jan 3, 2026 Accepting new patients
Kitsap Family Wellness LLC PastSince Jul 1, 2020 Accepting new patients
Community Services Group, Inc. PastSince Nov 1, 2002 Accepting new patients

Locations

1353 Gold Star Hwy
Groton, CT 06340
Phone (860) 449-9947

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1255716239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MOSSY ROCK DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857878",
            "telephone_number": "540-290-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E WHEELWRIGHT ST",
            "city": "ALLYN",
            "state": "WA",
            "postal_code": "985247787",
            "telephone_number": "717-500-1831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1353 Gold Star Hwy",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "CT",
            "postal_code": "063402739",
            "country_code": "US",
            "telephone_number": "860-629-8270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Mossy Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294857878",
            "country_code": "US",
            "telephone_number": "540-290-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANNELL",
        "first_name": "ERICA",
        "middle_name": "MICHELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008981",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024198",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60970339",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132408",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "014032",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2204889",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "DICKEY",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allyn, WA

Sources for this page

Verify at the official NPI Registry.