Individual provider Active NPI

Erica Donica, LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1851819395
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012955 Issued in VA
Practice address
2727 Electric Rd Ste 103
Roanoke, VA 24018-3500
Phone
(815) 263-2382
NPI assigned
Sep 5, 2017
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0009921635 CO
Clinical Social Worker 1041C0700X 9925296 CO
Clinical Social Worker 1041C0700X 0904012955 VA Primary

Addresses

Primary practice location

2727 Electric Rd Ste 103
Roanoke, VA 24018-3500

Mailing address

2727 Electric Rd Ste 103
Roanoke, VA 24018-3500
Phone (815) 263-2382

Other practice location 1

1402 Grandin Rd SW Ste 201
Roanoke, VA 24015-2348
Phone (540) 627-6056

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
0009921635COMDSocial Worker
9925296COMDClinical Social Worker
0904012955VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1851819395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 ELECTRIC RD STE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183500",
            "telephone_number": "815-263-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 ELECTRIC RD STE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183500",
            "telephone_number": "815-263-2382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 Grandin Rd SW Ste 201",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240152348",
            "country_code": "US",
            "telephone_number": "540-627-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONICA",
        "first_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009921635",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9925296",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.