Erica Corpening Daniels, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015351 Issued in NC

Practice address

1174 Valley St
Statesville, NC 28677-3560

Phone

(336) 528-4042

NPI assigned

Nov 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Child & Family Therapy Center, PC

  • Professional Counselor
  • Mooresville, NC
  • NPI 1275788119

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1972106755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 VALLEY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773560",
            "telephone_number": "336-528-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 VALLEY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773560",
            "telephone_number": "336-528-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ERICA",
        "middle_name": "CORPENING",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Webroot",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1174 Valley St",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286773560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tabitha Lynn Dabkowski, PA-C
• Dawn Dale
• John Marcus Dale, D.D.S.
• Jennifer W Dalton, LPCA
• Deshannon Daniels
• Jessica Leigh Daniels
• Esenam Dankwa, PMHNP
• Jaan Dar
• Katherine Grace Darrigrand, DO
• Megan Daughaday

• Clinical Social Worker in Statesville, NC
• Providers in Statesville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.