Individual provider Active NPI

Kathryn A Erb, LCSW

  • Clinical Social Worker
  • Richland Center, WI
National Provider Identifier
1609078005
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3971 Issued in WI
Practice address
221 W Seminary St
Richland Center, WI 53581-2358
Phone
(608) 649-5784
Fax
(608) 647-6611
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 3971 WI Primary

Addresses

Primary practice location

221 W Seminary St
Richland Center, WI 53581-2358

Mailing address

221 W Seminary St
Richland Center, WI 53581-2358
Phone (608) 649-5784

Other identifiers 1

IdentifierTypeStateIssuer
39687500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3971WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1609078005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W SEMINARY ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812358",
            "telephone_number": "608-649-5784",
            "fax_number": "608-647-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W SEMINARY ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812358",
            "telephone_number": "608-649-5784",
            "fax_number": "608-647-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERB",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39687500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Center, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.