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DR. ERICKA LISLE WODKA PH.D.
NPI 1033256342
Clinical Neuropsychologist in Baltimore, MD

Active since January 30, 2007PECOS Enrolled
3901 GREENSPRING AVE, BALTIMORE, MD 21211(443) 923-7717 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ericka Lisle Wodka Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERICKA LISLE WODKA PH.D. (NPI 1033256342) is an individual clinical neuropsychologist in Baltimore, Maryland, licensed in Maryland (04646) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033256342
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. ERICKA LISLE WODKACredential: PH.D.
Location Address3901 GREENSPRING AVEBaltimore, MD 21211-1353
Mailing Address3901 Greenspring AveBaltimore, MD 21211-1353 · (443) 923-7717
Phone(443) 923-7717
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 8, 2008
✔ NPI 1033256342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MD · 04646
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3901 GREENSPRING AVE, Baltimore, MD 21211
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Other Names 1

Former Name (1)Ericka Lisle Anderson

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ericka Lisle Wodka Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ericka Wodka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kennedy Krieger Associates
Same address
Pediatrics
3901 GREENSPRING AVE
Baltimore, MD 21211
  • Reassigned Medicare billing, Maryland enrollment
  • 352 clinicians in this Medicare group
NPI 1922806892 (443) 923-7630

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL REETZKE CCC-SLP
Speech-Language Pathologist
3901 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-1871
DR. LESIA MALKO TRICKETT M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3901 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-5932
DR. PAMELA ANNE MATHY PHD CCC SLP
Speech-Language Pathologist
3901 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-7880
NA YOUNG JI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3901 GREENSPRING AVE, PSYCHIATRY MAIL ROOM, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21211
Baltimore City (433) 923-7793
ROMA VASA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3901 GREENSPRING AVE, KENNEDY KRIEGER INSTITUTE, DEPTARTMENT OF PSYCHIATRY
BALTIMORE, MD 21211
Baltimore City (443) 923-2643
MRS. ERIN MOXEY SLP
Speech-Language Pathologist
3901 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (574) 298-0395
SARAH BARNES LCSW-C
Social Worker (Clinical)
3901 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 974-2345
HANNAH BRASH CCC-SLP
Speech-Language Pathologist
3901 GREENSPRING AVE
BALTIMORE, MD 21211
Baltimore City (443) 923-7630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ericka Wodka's NPI number?

The NPI number for Ericka Wodka is 1033256342. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Ericka Lisle Anderson.

Where is Ericka Wodka located?

Ericka Wodka practices at 3901 Greenspring Ave, Baltimore, MD 21211. The listed phone number is (443) 923-7717.

What is Ericka Wodka's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Ericka Wodka enrolled in Medicare?

Yes. Ericka Wodka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ericka Wodka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ericka Wodka reassigns Medicare benefits to Kennedy Krieger Associates (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ericka Wodka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ericka Wodka was last updated on September 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.