Erica Loller Martin, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10795 Issued in MD

Practice address

819 Ritchie Hwy Ste 1020
Severna Park, MD 21146-4193

Phone

(410) 431-5111

Fax

(410) 431-5112

NPI assigned

Sep 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Erica Loller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1518476175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 RITCHIE HWY STE 1020",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464193",
            "telephone_number": "410-431-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 RITCHIE HWY STE 1020",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464193",
            "telephone_number": "410-431-5111",
            "fax_number": "410-431-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ERICA",
        "middle_name": "LOLLER",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999005400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "LOLLER",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sara Manno, RDH
• Samantha Manos, LCSW-C
• Barry Manson, DDS
• Bernadette B. Martin, R.N.
• Donna Marie Martin, RN BSN
• Emma Martinez, COTA
• Mary T Maryland
• Maryland Caregivers, LLC (Senior Helpers Annapolis)
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 03045)
• Maryland Elder Care LLC

• Clinical Social Worker in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.