Individual provider Active NPI

Erin Michelle Demkowicz, LISW

  • Clinical Social Worker
  • Cambridge, OH
National Provider Identifier
1386995967
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1451375 Issued in OH
Practice address
2500 John Glenn Hwy
Cambridge, OH 43725-9028
Phone
(740) 439-4428
Fax
(740) 439-3389
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1201180 OH
Clinical Social Worker 1041C0700X I.1451375 OH Primary

Addresses

Primary practice location

2500 John Glenn Hwy
Cambridge, OH 43725-9028

Mailing address

2845 Bell St
Zanesville, OH 43701-1720
Phone (740) 454-9766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150219001293 OH Practitioner - Clinical Social Worker 6901121771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1201180OHMDSocial Worker
I.1451375OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers CurrentSince Nov 30, 2015 Accepting new patients
Muskingum Valley Health Centers Current Accepting new patients
Muskingum Valley Health Centers CurrentSince Nov 30, 2015 Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

2845 Bell St
Zanesville, OH 43701
Phone (614) 455-4147

2725 Pinkerton Ln
Zanesville, OH 43701
Phone (740) 487-3348

Organizations & group practices 3

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1386995967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011720",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 JOHN GLENN HWY",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259028",
            "telephone_number": "740-439-4428",
            "fax_number": "740-439-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMKOWICZ",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1201180",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1451375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.