Active NPI
Erin Hertrich
- Clinical Social Worker
- Southampton, NJ
National Provider Identifier
1679142863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL06670500
- Practice address
- 209 New Freedom Rd
Southampton, NJ 08088-2803 - Phone
- (347) 351-6076
- NPI assigned
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL06670500 | NJ | Primary |
Addresses
Primary practice location
209 New Freedom Rd
Southampton, NJ 08088-2803
Mailing address
160 Eagle Rock Ave Unit 64
Roseland, NJ 07068-6603
Phone (347) 351-6076
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06670500 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627171200000",
"number": "1679142863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 EAGLE ROCK AVE UNIT 64",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070686603",
"telephone_number": "347-351-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 NEW FREEDOM RD",
"city": "SOUTHAMPTON",
"state": "NJ",
"postal_code": "080882803",
"telephone_number": "347-351-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTRICH",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-07-25",
"certification_date": "2021-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL06670500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.