Individual provider Active NPI

Katherine Jeanne Erly, LCSWC

  • Clinical Social Worker
  • Prince Frederick, MD
National Provider Identifier
1386733137
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10655 Issued in MD
Practice address
481 Main St
Prince Frederick, MD 20678-3340
Phone
(443) 550-9559
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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 10655 MD Primary

Addresses

Primary practice location

481 Main St
Prince Frederick, MD 20678-3340

Mailing address

481 Main St
Prince Frederick, MD 20678-3340
Phone (443) 550-9559

Other names 1

  • Katherine Jeanne Loiacono Erly Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10655MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erly Family Solutions, LLC Past Accepting new patients

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1386733137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 MAIN ST",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783340",
            "telephone_number": "443-550-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 MAIN ST",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783340",
            "telephone_number": "443-550-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLY",
        "first_name": "KATHERINE",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "LOIACONO ERLY",
            "middle_name": "JEANNE",
            "credential": "LCSWC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.