Individual provider Active NPI

Erika Marie Fugere, LCSW

  • Social Worker
  • Johnson City, TN
National Provider Identifier
1831603661
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
TN10245 Issued in TN
Practice address
403 Princeton Rd Ste 2
Johnson City, TN 37601-2040
Phone
(423) 483-9049
NPI assigned
Dec 1, 2017
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X TN10245 TN Primary
Clinical Social Worker 1041C0700X 7297 TN
Clinical Social Worker 1041C0700X 0904013403 VA
Case Manager/Care Coordinator 171M00000X 4229497 TN

Addresses

Primary practice location

403 Princeton Rd Ste 2
Johnson City, TN 37601-2040

Mailing address

403 Princeton Rd Ste 2
Johnson City, TN 37601-2040
Phone (423) 430-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210702000754 TN Practitioner - Clinical Social Worker 7113328766 Practice locations: Johnson City, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
East Tennessee State University Quillen College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

403 Princeton Rd
Suite 2
Johnson City, TN 37601-2040
Phone (423) 430-6656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TN10245TNMDSocial Worker
7297TNMDClinical Social Worker
0904013403VAMDClinical Social Worker
4229497TNMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1831603661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PRINCETON RD STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012040",
            "telephone_number": "423-430-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PRINCETON RD STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012040",
            "telephone_number": "423-483-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGERE",
        "first_name": "ERIKA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "TN10245",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7297",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013403",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TN",
            "license": "4229497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.