Erin Usilton Clark, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13428 Issued in MD

Practice address

300 Scheeler Rd
Chestertown, MD 21620-1014

Phone

(410) 778-6800

Fax

(410) 778-7344

NPI assigned

Jan 18, 2008

Last updated

Jan 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kent County Health DepartmentGroup PAC ID 9032139241, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kent County Health Department

  dba Kent County Health Department/OMHC

  • Public Health or Welfare Agency
  • Chestertown, MD
  • NPI 1457307076
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1962688119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216200229",
            "telephone_number": "410-778-6800",
            "fax_number": "410-778-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SCHEELER RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201014",
            "telephone_number": "410-778-6800",
            "fax_number": "410-778-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ERIN",
        "middle_name": "USILTON",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choptank Community Health System Inc (Chestertown Head Start Dental Services)
• Choptank Community Health System Inc (University of Maryland Shore Medical Center at Chestertown OR Services)
• Hanbin Chung
• Jocelyn Cimino
• Allison Nicole Clark, P.T.A.
• Beverly Simpler Clarke, M.S.N., R.N., C.R.N.
• David Richard Clarkson, D.P.M.
• Peter W. Clements, RNFA
• David Collier, MPT
• Community Behavioral Health, LLC

• Clinical Social Worker in Chestertown, MD
• Providers in Chestertown, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.

Verify at the official NPI Registry.