Individual provider Active NPI

Erika Teasley, LCSW-C

  • Clinical Social Worker
  • Aberdeen, MD
National Provider Identifier
1982337614
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14628 Issued in MD
Practice address
116 St Andrews CT
Aberdeen, MD 21001-2953
Phone
(410) 322-3692
NPI assigned
Jul 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14628 MD Primary

Addresses

Primary practice location

116 St Andrews CT
Aberdeen, MD 21001-2953

Mailing address

116 St Andrews CT
Aberdeen, MD 21001-2953
Phone (410) 322-3692

Other practice location 1

17 E Franklin St
Baltimore, MD 21202-2203
Phone (410) 600-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eteasley26@outlook.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220831000184 MD Practitioner - Clinical Social Worker 6103200761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harford Crisis Center IncGroup PAC ID 6002726007, 22 clinicians

Practice addresses (Care Compare)

802 Baltimore Pike
Suite a
Bel Air, MD 21014-4212
Phone (443) 643-3464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14628MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Crisis Center, Inc. CurrentSince May 23, 2024 Accepting new patients
American Psychiatric Group, P.a. CurrentSince Jul 20, 2022 Accepting new patients
American Psychiatric Group, P.a. CurrentSince Jul 20, 2022 Accepting new patients
New Seasons LLC CurrentSince Jul 17, 2022 Accepting new patients
Apg Labs Current Accepting new patients

Locations

17 E Franklin St
Baltimore, MD 21202
Phone (410) 600-3500

802 Baltimore Pike
#A
Bel Air, MD 21014
Phone (443) 643-2422

Organizations & group practices 5

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": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1982337614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ST ANDREWS CT",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012953",
            "telephone_number": "410-322-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ST ANDREWS CT",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012953",
            "telephone_number": "410-322-3692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 E Franklin St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212022203",
            "country_code": "US",
            "telephone_number": "410-600-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEASLEY",
        "first_name": "ERIKA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eteasley26@outlook.com",
            "affiliation": "N",
            "address_1": "116 St Andrews Ct",
            "city": "Aberdeen",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210012953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.