Sammi Lee Ervin, P-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P006737 Issued in NC

Practice address

219 East St
Albemarle, NC 28001-3423

Phone

(704) 636-2059

NPI assigned

Mar 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ultra Violet Mental HealthGroup PAC ID 2365792074, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ultra Violet Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Salisbury, NC
  • NPI 1821489188
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1689940967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DOSETT DR",
            "address_2": "STE 200",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442278",
            "telephone_number": "704-870-8108",
            "fax_number": "704-870-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 EAST ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013423",
            "telephone_number": "704-636-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "SAMMI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "P-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P006737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Care Services, Inc.
• Elite Care Services, Inc.
• Morgan Elkins
• Elw Consulting Services, LLC
• Empower Health and Home Care, LLC
• Eudy Properties & Services, Inc.
• Eudy Properties & Services, Inc.
• Alisha Hudson Eudy, FNP
• Jamie Randall Eudy, PTA
• Scott Ryan Evans

• Clinical Social Worker in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.

Verify at the official NPI Registry.