Individual provider Active NPI

Erica Gerring, LISW-CP

  • Clinical Social Worker
  • Shaw AFB, SC
National Provider Identifier
1982022646
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12484 Issued in SC
Practice address
431 Meadowlark St # DT
Shaw AFB, SC 29152-5019
Phone
(803) 895-6199
NPI assigned
Mar 31, 2014
Reactivated
Jan 23, 2018
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14518 MD
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X CSW006364 GA
Clinical Social Worker 1041C0700X 12484 SC Primary

Addresses

Primary practice location

431 Meadowlark St # DT
Shaw AFB, SC 29152-5019

Mailing address

129 Rapid Run Rd
Camden, SC 29020-7543
Phone (240) 220-9997

Other names 1

  • Erica Frankel Slater Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230301000039 GA Practitioner - Clinical Social Worker 4082087721 Reassigns benefits to 1 organization
I20230303000205 MD Practitioner - Clinical Social Worker 4082087721 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW006364GAMDClinical Social Worker
12484SCMDClinical Social Worker
14518MDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 17, 2023 Accepting new patients

Locations

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1982022646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 RAPID RUN RD",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290207543",
            "telephone_number": "240-220-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MEADOWLARK ST # DT",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525019",
            "telephone_number": "803-895-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRING",
        "first_name": "ERICA",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-25",
        "deactivation_date": "2014-11-07",
        "reactivation_date": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14518",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006364",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "SLATER",
            "middle_name": "FRANKEL",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shaw AFB, SC

Sources for this page

Verify at the official NPI Registry.