Individual provider Active NPI

Erin Teigen, MSW, LCSW, LCSW-C

  • Clinical Social Worker
  • Appomattox, VA
National Provider Identifier
1669068086
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24923 Issued in MD
Practice address
701 Mountain View Rd
Appomattox, VA 24522-9856
Phone
(804) 586-4278
NPI assigned
Dec 20, 2020
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904013256 VA
Clinical Social Worker 1041C0700X 24923 MD Primary

Addresses

Primary practice location

701 Mountain View Rd
Appomattox, VA 24522-9856

Mailing address

701 Mountain View Rd
Appomattox, VA 24522-9856
Phone (804) 586-4278

Other practice location 1

8181 Main St Apt 2
Ellicott City, MD 21043-4929
Phone (410) 505-0062

Other practice location 2

2001 Mount Vernon Ave
Alexandria, VA 22301-1309
Phone (804) 586-4278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210806001498 MD Practitioner - Clinical Social Worker 0941604326 Reassigns benefits to 1 organization
I20240710002448 VA Practitioner - Clinical Social Worker 0941604326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 Mountain View Rd
Appomattox, VA 24522-9856
Phone (804) 586-4278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904013256VAMDClinical Social Worker
24923MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Equitherapy LLC CurrentSince May 19, 2024 Accepting new patients
Safe Harbor Behavioral Care Chesapeake LLC Clinical CurrentSince Jul 26, 2021 Accepting new patients
Elevation Ecotherapy PLC Clinical CurrentSince Jun 1, 2024 Accepting new patients
Safe Harbor Behavioral Care, LLC Social Worker PastSince Oct 1, 2017 Accepting new patients

Locations

108 Old Solomons Island Rd
Ste U5
Annapolis, MD 21401

1592 Whitehall Rd
Annapolis, MD 21409

2629 Riva Rd
Ste 112
Annapolis, MD 21401
Phone (410) 266-1000

461 College Pkwy
Arnold, MD 21012

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

8146 Quarterfield Rd
Severn, MD 21144
Phone (443) 303-7404

2001 Mount Vernon Ave
Alexandria, VA 22301
Phone (703) 650-9195

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1669068086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MOUNTAIN VIEW RD",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245229856",
            "telephone_number": "804-586-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MOUNTAIN VIEW RD",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245229856",
            "telephone_number": "804-586-4278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8181 Main St Apt 2",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210434929",
            "country_code": "US",
            "telephone_number": "410-505-0062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223011309",
            "country_code": "US",
            "telephone_number": "804-586-4278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEIGEN",
        "first_name": "ERIN",
        "credential": "MSW, LCSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013256",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appomattox, VA

Sources for this page

Verify at the official NPI Registry.