Individual provider Active NPI

Erin Nichole Atkinson, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1629415211
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20736 Issued in MD
Practice address
911 W 36TH St
Baltimore, MD 21211-2445
Phone
(443) 990-1471
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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 20736 MD Primary

Addresses

Primary practice location

911 W 36TH St
Baltimore, MD 21211-2445

Mailing address

711 W 40TH St Ste 153
Baltimore, MD 21211-2143
Phone (434) 990-1471

Other practice location 1

701 Kauhikoa Road
Haiku, HI 96708-1533
Phone (808) 281-2113

Other practice location 2

305 W Chesapeake Ave Ste 501
Towson, MD 21204-9936
Phone (443) 990-1471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20736MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Atkinson Mental Health LLC Clinical Current Accepting new patients

Locations

911 W 36th St
Baltimore, MD 21211
Phone (410) 258-0519

Organizations & group practices 1

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1629415211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST STE 153",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112143",
            "telephone_number": "434-990-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W 36TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112445",
            "telephone_number": "443-990-1471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Kauhikoa Road",
            "address_purpose": "LOCATION",
            "city": "Haiku",
            "state": "HI",
            "postal_code": "967081533",
            "country_code": "US",
            "telephone_number": "808-281-2113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W Chesapeake Ave Ste 501",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212049936",
            "country_code": "US",
            "telephone_number": "443-990-1471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "ERIN",
        "middle_name": "NICHOLE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.