Erika Fontana, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1800943 Issued in OH

Practice address

6500 Poe Ave Ste 400
Dayton, OH 45414-2527

Phone

(937) 276-3356

Fax

(937) 276-9514

NPI assigned

Jul 17, 2008

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

Medicare fee-for-service enrollment

Enrolled in OH

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Collective Within, LLCGroup PAC ID 4486141389, 2 clinicians

Cordell Associates, LLCGroup PAC ID 8325130453, 8 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 and National Provider Directory roles.

• Collective Within, LLC

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1144116153
  Medicare reassignment Care Compare group NPD
• Cordell Associates, LLC

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1780735597
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1972767085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 POE AVE STE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142527",
            "telephone_number": "937-276-3356",
            "fax_number": "937-276-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 POE AVE STE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142527",
            "telephone_number": "937-276-3356",
            "fax_number": "937-276-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "ERIKA",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1800943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chuckeia Folley, LPCC-S
• Cynthia Kaye Folley
• Tenisha Folley
• Aira Verenice Fondon, CDCA
• Tracy Fong
• Lesley Elizabeth Fontana, M.A., CCC-SLP
• Foot & Ankle Institute of Ohio Inc
• Debra S. Foote, ACNP
• Jason T Forbush, M.D.
• Dashawna Ford

• Clinical Social Worker in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.