Individual provider Active NPI

Erica Brittni Roldan, LMSW

  • Social Worker
  • Chattanooga, TN
National Provider Identifier
1417425729
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW0000013287 Issued in TN
Practice address
7609 Shallowford Rd
Chattanooga, TN 37421-2633
Phone
(423) 777-6015
NPI assigned
Nov 5, 2018
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 104701 NY
Social Worker 104100000X LSW0000013287 TN Primary

Addresses

Primary practice location

7609 Shallowford Rd
Chattanooga, TN 37421-2633

Mailing address

3623 Fountain Ave Apt 37
Chattanooga, TN 37412-1843
Phone (631) 374-7636

Other practice location 1

445 Oak St
Copiague, NY 11726-3111
Phone (631) 257-5173

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eroldan@harmonyoaksrecovery.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250917001350 TN Practitioner - Clinical Social Worker 7214431873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

975 E 3Rd St Box
Suite 159
Chattanooga, TN 37403-2163

979 E 3Rd St
Suite C232
Chattanooga, TN 37403-2140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104701NYMDSocial Worker
LSW0000013287TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Jun 23, 2025 Accepting new patients
Erlanger Health CurrentSince Jun 23, 2025 Accepting new patients

Locations

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: eroldan@harmonyoaksrecovery.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1417425729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 FOUNTAIN AVE APT 37",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374121843",
            "telephone_number": "631-374-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7609 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212633",
            "telephone_number": "423-777-6015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Oak St",
            "address_purpose": "LOCATION",
            "city": "Copiague",
            "state": "NY",
            "postal_code": "117263111",
            "country_code": "US",
            "telephone_number": "631-257-5173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "ERICA",
        "middle_name": "BRITTNI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "104701",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000013287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eroldan@harmonyoaksrecovery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7609 Shallowford Rd",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374212633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.