Active NPI
Ericka Sample, LCSW
- Clinical Social Worker
- Delmar, DE
National Provider Identifier
1750746384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0001420
- Practice address
- 36860 Red Berry Rd
Delmar, DE 19940-2347 - Phone
- (302) 249-6481
- NPI assigned
- Dec 26, 2015
- Last updated
- Dec 26, 2015
- Sex
- Female
- 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 | Q1-0001420 | DE | Primary |
Addresses
Primary practice location
36860 Red Berry Rd
Delmar, DE 19940-2347
Mailing address
36860 Red Berry Rd
Delmar, DE 19940-2347
Phone (302) 249-6481
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451088000000",
"number": "1750746384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36860 RED BERRY RD",
"city": "DELMAR",
"state": "DE",
"postal_code": "199402347",
"telephone_number": "302-249-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36860 RED BERRY RD",
"city": "DELMAR",
"state": "DE",
"postal_code": "199402347",
"telephone_number": "302-249-6481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLE",
"first_name": "ERICKA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-26",
"last_updated": "2015-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0001420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delmar, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.