Individual provider Active NPI

Erin Hollerbach, LCSW

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1609242353
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080568 Issued in DC
Practice address
10431 Patterson Ave
Henrico, VA 23238-5101
Phone
(804) 307-5049
NPI assigned
Aug 17, 2015
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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 LC50080568 DC Primary

Addresses

Primary practice location

10431 Patterson Ave
Henrico, VA 23238-5101

Mailing address

10431 Patterson Ave
Henrico, VA 23238-5101
Phone (804) 307-5049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20211230000358 VA Practitioner - Clinical Social Worker 2466843446 Practice locations: Henrico, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50080568DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1609242353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 PATTERSON AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232385101",
            "telephone_number": "804-307-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 PATTERSON AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232385101",
            "telephone_number": "804-307-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLERBACH",
        "first_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.