Individual provider Active NPI

Katie Elizabeth Wood, LCSW

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1982241071
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022311 Issued in PA
Practice address
410 Cranberry St Ste 220
Erie, PA 16507-1090
Phone
(814) 315-0047
NPI assigned
Dec 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW022311 PA Primary
Social Worker 104100000X SW136804 PA

Addresses

Primary practice location

410 Cranberry St Ste 220
Erie, PA 16507-1090

Mailing address

410 Cranberry St Ste 220
Erie, PA 16507-1090
Phone (814) 315-0047

Other practice location 1

956 W 38th St
Erie, PA 16508-2531
Phone (814) 273-8783

Other practice location 2

2230 W 8th St Ste 2
Erie, PA 16505-4545
Phone (814) 464-4969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 13, 2023 through Dec 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW136804PAMDSocial Worker
CW022311PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Roots Counseling and Wellness, LLC Clinical Current Accepting new patients
Still Wave Therapy LLC Clinical CurrentSince Jun 23, 2025 Accepting new patients

Locations

956 W 38th St
Erie, PA 16508
Phone (814) 528-5000

410 Cranberry St
Ste 220
Erie, PA 16507
Phone (814) 315-0047

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1982241071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CRANBERRY ST STE 220",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071090",
            "telephone_number": "814-315-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CRANBERRY ST STE 220",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071090",
            "telephone_number": "814-315-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "956 W 38th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165082531",
            "country_code": "US",
            "telephone_number": "814-273-8783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2230 W 8th St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165054545",
            "country_code": "US",
            "telephone_number": "814-464-4969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-08",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022311",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW136804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.