Individual provider Active NPI

Erica Sobel, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1457587537
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016309 Issued in PA
Practice address
2001 Hamilton St
Apt 403
Philadelphia, PA 19130-4201
Phone
(917) 519-8351
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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 CW016309 PA Primary

Addresses

Primary practice location

2001 Hamilton St
Apt 403
Philadelphia, PA 19130-4201

Mailing address

2001 Hamilton St
Apt 403
Philadelphia, PA 19130-4201
Phone (917) 519-8351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260602002635 NY Practitioner - Clinical Social Worker 5799256665 Practice locations: New City, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

306 S Mountain Rd
New City, NY 10956-4518
Phone (845) 608-0942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016309PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1457587537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HAMILTON ST",
            "address_2": "APT 403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304201",
            "telephone_number": "917-519-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HAMILTON ST",
            "address_2": "APT 403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304201",
            "telephone_number": "917-519-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBEL",
        "first_name": "ERICA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.