Rochelle Lois Ervin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022200 Issued in IL

Practice address

1530 Foxwood Pass
Oconomowoc, WI 53066-3023

Phone

(724) 372-0762

NPI assigned

Nov 17, 2020

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rochelleervin@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1316540909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 FOXWOOD PASS",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663023",
            "telephone_number": "724-372-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 FOXWOOD PASS",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663023",
            "telephone_number": "724-372-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "ROCHELLE",
        "middle_name": "LOIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Corene Elliott, LPN
• Mary Katherine Ellis, MD
• Embrace Life Trauma Institute
• Colleen Englebert, R.PH.
• Karrie Lynn Erdman, OTR
• Audrey Eshleman-Head, LPC-IT
• Essence Family Chiropractic LLC
• Everside Health, LLC
• Dennis R. Faber, R.N.
• Tina Marie Falkowski, LPN

• Clinical Social Worker in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.