Erica Albert, LICSW
Individual provider Active NPI Clinical Social Worker · Pawtucket, RI
NPI 1285862219 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1285862219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ISW02348 (RI)
- Practice address
- 100 Lafayette St Unit 303
Pawtucket, RI 02860-6008 - Phone
- (401) 285-2319
- Fax
- (401) 441-6519
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116267 | MA | MD | Clinical Social Worker |
| ISW02348 | RI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 116267 | MA | |
| Clinical Social Worker | 1041C0700X | ISW02348 | RI | Yes |
Addresses
Primary practice location
100 Lafayette St Unit 303
Pawtucket, RI 02860-6008
Mailing address
100 Lafayette St Unit 303
Pawtucket, RI 02860-6008
Phone (401) 285-2319
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1309161 | Medicaid | MA |
Other names
- Erica Gebhart
Other providers in Pawtucket, RI
- Olubukola Ajayi
- Ahmad Al-Raqqad
- Motasem A Al-Yacoub
- Chris Michael Albanese
- Albert Silva MSW LCDP Cadc LLC
- Kevin Alexander
- Alfred a Paul, MD and Lin Chou, MD, Inc.
- Maureen Alicea
- All Coast Physical Therapy, Inc.
- Alex William Allard
All providers in Pawtucket, RI · Clinical Social Worker in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. 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.