Individual provider Active NPI

Erica Herrera

  • Clinical Social Worker
  • Haymarket, VA
National Provider Identifier
1336809888
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013567 Issued in VA
Practice address
15100 Washington St Ste 103
Haymarket, VA 20169-4919
Phone
(703) 596-5079
NPI assigned
Dec 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904013567 VA Primary

Addresses

Primary practice location

15100 Washington St Ste 103
Haymarket, VA 20169-4919

Mailing address

14364 Fallsmere Cir
Gainesville, VA 20155-4411
Phone (954) 544-1773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250123003480 VA Practitioner - Clinical Social Worker 8426587262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15000 Washington St
Suite 201
Haymarket, VA 20169-4902

15000 Washington St
Suite 201
Haymarket, VA 20169-4921
Phone (571) 497-4691

6611 Jefferson St
Suite 202
Haymarket, VA 20169-4902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yew Tree Wellness Clinical CurrentSince Nov 4, 2024 Accepting new patients

Locations

6611 Jefferson St
Ste 202
Haymarket, VA 20169
Phone (571) 497-4691

15000 Washington St
Ste 201
Haymarket, VA 20169
Phone (571) 497-4691

Organizations & group practices 1

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": "1640476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1336809888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14364 FALLSMERE CIR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554411",
            "telephone_number": "954-544-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 WASHINGTON ST STE 103",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694919",
            "telephone_number": "703-596-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-26",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

Verify at the official NPI Registry.