Active NPI
Ericka Jean Bond, LCSW
- Clinical Social Worker
- Cannon Afb, NM
National Provider Identifier
1326324229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-10338
- Practice address
- 27TH Special Operations Medical Group
224 W D. L. Ingram Avenue, BLDG. 1408
Cannon Afb, NM 88103 - Phone
- (575) 693-6518
- NPI assigned
- Oct 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 50214 | TX | |
| Clinical Social Worker | 1041C0700X | C-10338 | NM | Primary |
Addresses
Primary practice location
27TH Special Operations Medical Group
224 W D. L. Ingram Avenue, BLDG. 1408
Cannon Afb, NM 88103
Mailing address
27TH Special Operations Medical Group
224 W D. L. Ingram Avenue, BLDG. 1408
Cannon Afb, NM 88103
Other practice location 1
1100 W 21st St
Clovis, NM 88101
Phone (575) 769-2345
Other practice location 2
806 E Avenue D
Ste F
Copperas Cove, TX 76522-2231
Phone (254) 547-6415
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-10338 | NM | MD | Clinical Social Worker |
| 50214 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1326324229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27TH SPECIAL OPERATIONS MEDICAL GROUP",
"address_2": "224 W D. L. INGRAM AVENUE, BLDG. 1408",
"city": "CANNON AFB",
"state": "NM",
"postal_code": "88103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27TH SPECIAL OPERATIONS MEDICAL GROUP",
"address_2": "224 W D. L. INGRAM AVENUE, BLDG. 1408",
"city": "CANNON AFB",
"state": "NM",
"postal_code": "88103",
"telephone_number": "575-693-6518"
}
],
"practiceLocations": [
{
"address_1": "1100 W 21st St",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "NM",
"postal_code": "88101",
"country_code": "US",
"telephone_number": "575-769-2345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "806 E AVENUE D",
"address_2": "STE F",
"address_purpose": "LOCATION",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765222231",
"country_code": "US",
"telephone_number": "254-547-6415",
"fax_number": "254-547-2030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOND",
"first_name": "ERICKA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2024-02-16",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "50214",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-10338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cannon Afb, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.