Active NPI
Eric Emery, MSW, PHD
- Clinical Social Worker
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 0009905
- Practice address
- 8040 Hosbrook Rd
Suite 320
Cincinnati, OH 45236-2901 - Phone
- (415) 599-5542
- NPI assigned
- Apr 13, 2015
- Last updated
- Apr 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | I 0009905 | OH | Primary |
Addresses
Primary practice location
8040 Hosbrook Rd
Suite 320
Cincinnati, OH 45236-2901
Mailing address
8040 Hosbrook Rd
Suite 320
Cincinnati, OH 45236-2901
Phone (415) 599-5542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Madrone St
Willits, CA 95490-4225
Phone (707) 459-6801
45 Hazel St
Willits, CA 95490-4222
Phone (707) 456-9600
5335 Lakeshore Blvd
Lakeport, CA 95453-6123
Phone (707) 263-7725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I 0009905 | OH | MD | Clinical Social Worker |
| 16194 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients |
Locations
333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1497961106
-
dba Dora Street Health Center
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1356714646
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1750809463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1689060030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8040 HOSBROOK RD",
"address_2": "SUITE 320",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362901",
"telephone_number": "415-599-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 HOSBROOK RD",
"address_2": "SUITE 320",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362901",
"telephone_number": "415-599-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERY",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "MSW, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-13",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I 0009905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.