Erica L Walworth, MS LMFT CEDS RDN LD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35001890A Issued in IN

Practice address

412 S Scott Rd
Fort Wayne, IN 46814

Phone

(260) 358-7180

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Neossia Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
  • NPI 1295396810
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1336255801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 EAGLE CREST TRL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451186",
            "telephone_number": "260-489-9009",
            "fax_number": "260-489-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S SCOTT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46814",
            "telephone_number": "260-358-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4210 Flagstaff Cv",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468154417",
            "country_code": "US",
            "telephone_number": "260-489-9009 x306",
            "fax_number": "260-489-5057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALWORTH",
        "first_name": "ERICA",
        "middle_name": "L",
        "credential": "MS LMFT CEDS RDN LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37001673A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001890A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN DIETETIC ASSOCIA",
            "identifier": "0893263",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "893263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Waltman
• Rhonda L. Walton, RD CD LD
• Bentley Waltz
• Payton Waltz, PHARMD
• Arthur A Walus, CRNA
• Christina J Walz, M.D.
• Duane M Wampler, PA-C
• Meagan Wampler, DPT
• Nkechi A Wan, DDS
• Xiaoying Wan, M.D.

• Marriage & Family Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.