Active NPI
Erika Marie Fugere, LCSW
- Social Worker
- Johnson City, TN
National Provider Identifier
1831603661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- TN10245
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| TN10245 | TN | MD | Social Worker |
| 7297 | TN | MD | Clinical Social Worker |
| 0904013403 | VA | MD | Clinical Social Worker |
| 4229497 | TN | MD | Case 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
- Frontier Health (Virginia's Place)
- Frontier Health (Gibson Place 208)
- Sierra Cheyenne Frosley
- Michael Ryan Fuchs, DDS
- Ruben Fuentes, CRNA
- Jordan Fugitt, PHARMD
- Alana Mary Fuhr, PTA
- Aleksandr M. Fuks, M.D.
- Timothy Michael Fullagar, M.D.
- Fuller Rehabilitation and Consulting Services, Inc. (Fuller Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.