Erin B Upham, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010290 Issued in VA

Practice address

7450 Heritage Village PLZ Ste 100
Gainesville, VA 20155-3090

Phone

(203) 623-1577

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Erin B Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Psychotherapy Associates of Winchester

  • Clinical Social Worker
  • Winchester, VA
  • NPI 1588656672
  NPD (past)

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1609375633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 LITTLEWING WAY",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226555361",
            "telephone_number": "203-623-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 HERITAGE VILLAGE PLZ STE 100",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553090",
            "telephone_number": "203-623-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPHAM",
        "first_name": "ERIN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "KELLY",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy E. Traxler, P.T.
• Phuong Hoang Trinh, DMD
• Triumph ABA of VA LLC
• Cristina Trypanis, DPT
• Susan Turkington, M.D.
• Rupinder Kaur Uppal, DDS
• Hafsa Usmani
• Uva Community Health Medical Group, LLC
• Uva Outpatient Imaging Centreville LLC
• VA Community Health Medical Group, LLC

• Clinical Social Worker in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.