Individual provider Active NPI

Erica Cavin, LCSW-C

  • Clinical Social Worker
  • Leonardtown, MD
National Provider Identifier
1780178590
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
23140 Moakley St Ste 6
Leonardtown, MD 20650-2931
Phone
(301) 690-8404
NPI assigned
Jun 15, 2018
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23946 MD
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

23140 Moakley St Ste 6
Leonardtown, MD 20650-2931

Mailing address

PO Box 2514
Leonardtown, MD 20650-8514

Other practice location 1

134 Main St Ste 103
Prince Frederick, MD 20678-6150
Phone (301) 690-8404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20200922002458 MD Practitioner - Clinical Social Worker 6800214974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Healing Psychotherapy LLCGroup PAC ID 9638515315, 8 clinicians

Practice addresses (Care Compare)

23140 Moakley St
Suite 6
Leonardtown, MD 20650-2931
Phone (301) 690-8404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23946MDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing Psychotherapy, LLC Clinical CurrentSince Oct 23, 2024 Accepting new patients

Locations

23140 Moakley St
Ste 6
Leonardtown, MD 20650
Phone (301) 481-8088

134 Main St
Ste 103
Prince Frederick, MD 20678
Phone (301) 690-8404

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1780178590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2514",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206508514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23140 MOAKLEY ST STE 6",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502931",
            "telephone_number": "301-690-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Main St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206786150",
            "country_code": "US",
            "telephone_number": "301-690-8404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVIN",
        "first_name": "ERICA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "23946",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.