Susan Ann Ehrlich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C002432 Issued in NC

Practice address

5613 Duraleigh Rd
Suite 161
Raleigh, NC 27612-2694

Phone

(919) 784-0508

Fax

(919) 784-0250

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1740348382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 OXFORD RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081637",
            "telephone_number": "919-539-8333",
            "fax_number": "919-784-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 DURALEIGH RD",
            "address_2": "SUITE 161",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122694",
            "telephone_number": "919-784-0508",
            "fax_number": "919-784-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW STATE LICENSE",
            "identifier": "C002432",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "129W4",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106539",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adesuwa Tracy Egharevba, M.D.
• Emma Ehlen, LCMHCA
• Kurt J Ehlert, M.D.
• Caitlyn Ehly
• Dominee Ehrhardt, NP
• Michelle Marie Eiben, BSPT
• Brian Eichner
• Renee Eiesland
• Kiara Simone Eily, M.D.
• Robert William Eisberg II, DDS

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.