Active NPI
Erica Lyn Roszell, LMSW
- Social Worker
- Centreville, MD
National Provider Identifier
1861022923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 25704
- Practice address
- 207 N Liberty St
Centreville, MD 21617-1189 - Phone
- (410) 758-8750
- NPI assigned
- Jan 16, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 25704 | MD | Primary |
Addresses
Primary practice location
207 N Liberty St
Centreville, MD 21617-1189
Mailing address
107 Storm Haven CT
Stevensville, MD 21666-3707
Phone (443) 905-6222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
207 N Liberty St
Suite B
Centreville, MD 21617-1189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1861022923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 STORM HAVEN CT",
"city": "STEVENSVILLE",
"state": "MD",
"postal_code": "216663707",
"telephone_number": "443-905-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N LIBERTY ST",
"city": "CENTREVILLE",
"state": "MD",
"postal_code": "216171189",
"telephone_number": "410-758-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSZELL",
"first_name": "ERICA",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "25704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centreville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.