Individual provider Active NPI

Erica Clare Tobias, LCSW

  • Clinical Social Worker
  • Bloomsburg, PA
National Provider Identifier
1467229864
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025639 Issued in PA
Practice address
273 E 7TH St
Bloomsburg, PA 17815-2853
Phone
(570) 507-7170
NPI assigned
Dec 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 SW128531 PA
Clinical Social Worker 1041C0700X CW025639 PA Primary

Addresses

Primary practice location

273 E 7TH St
Bloomsburg, PA 17815-2853

Mailing address

273 E 7TH St
Bloomsburg, PA 17815-2853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250320000106 PA Practitioner - Clinical Social Worker 3274055124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clover Leaf Counseling Center, LLCGroup PAC ID 3971970930, 3 clinicians

Practice addresses (Care Compare)

273 E 7TH St
Bloomsburg, PA 17815-2853
Phone (570) 507-7170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW128531PAMDSocial Worker
CW025639PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clover Leaf Counseling Center, LLC. Clinical CurrentSince Mar 10, 2025 Accepting new patients

Locations

273 E 7th St
Bloomsburg, PA 17815
Phone (570) 415-1982

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": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1467229864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 E 7TH ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 E 7TH ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152853",
            "telephone_number": "570-507-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "ERICA",
        "middle_name": "CLARE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128531",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

Verify at the official NPI Registry.