Individual provider Active NPI

Michael Erwin, LSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1841563483
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW128914 Issued in PA
Practice address
4040 Market St
Suite 320
Philadelphia, PA 19104-3003
Phone
(215) 390-1500
Fax
(215) 382-1099
NPI assigned
Feb 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW128914 PA Primary

Addresses

Primary practice location

4040 Market St
Suite 320
Philadelphia, PA 19104-3003

Mailing address

4408 Locust St
Apt. 1R
Philadelphia, PA 19104-2987
Phone (215) 390-1500

Other identifiers 1

IdentifierTypeStateIssuer
SW128914OtherPASOCIAL WORKER LICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW128914PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Housing, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1841563483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 LOCUST ST",
            "address_2": "APT. 1R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042987",
            "telephone_number": "215-390-1500",
            "fax_number": "215-382-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 MARKET ST",
            "address_2": "SUITE 320",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043003",
            "telephone_number": "215-390-1500",
            "fax_number": "215-382-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "MICHAEL",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER LICENSE",
            "identifier": "SW128914",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.