Individual provider Active NPI

Erin Mary McSherry, MSW, QCSW, LCSW

  • Clinical Social Worker
  • Kapolei, HI
National Provider Identifier
1477860567
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4038 Issued in HI
Practice address
92-929 Hame PL
#22-106
Kapolei, HI 96707-2418
Phone
(401) 477-6435
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4038 HI Primary
Clinical Social Worker 1041C0700X 116689 MA

Addresses

Primary practice location

92-929 Hame PL
#22-106
Kapolei, HI 96707-2418

Mailing address

92-929 Hame PL
#22-106
Kapolei, HI 96707-2418
Phone (401) 477-6435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL, AK, TX, ND5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20260406002761 MN Practitioner - Clinical Social Worker 6103391339 Reassigns benefits to 1 organization
I20260407001549 FL Practitioner - Clinical Social Worker 6103391339 Reassigns benefits to 1 organization
I20260415000717 AK Practitioner - Clinical Social Worker 6103391339 Reassigns benefits to 3 organizations
I20260416002599 TX Practitioner - Clinical Social Worker 6103391339 Reassigns benefits to 1 organization
I20260506000492 ND Practitioner - Clinical Social Worker 6103391339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peterson Medical Clinics LLCGroup PAC ID 9335412220, 91 clinicians

Practice addresses (Care Compare)

1120 Parker Canal CT
Oviedo, FL 32765-5622
Phone (701) 205-3000

205 E Benson Blvd
Suite 401
Anchorage, AK 99503-4019
Phone (701) 205-3000

3674 S Washington St
Grand Forks, ND 58201-5766
Phone (701) 205-3000

519 Anne St NW
Suite a
Bemidji, MN 56601-4277
Phone (701) 205-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4038HIMDClinical Social Worker
116689MAMDClinical Social Worker

Organizations & group practices 4

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": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1477860567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-929 HAME PL",
            "address_2": "#22-106",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072418",
            "telephone_number": "401-477-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-929 HAME PL",
            "address_2": "#22-106",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072418",
            "telephone_number": "401-477-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHERRY",
        "first_name": "ERIN",
        "middle_name": "MARY",
        "credential": "MSW, QCSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4038",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.