ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC
NPI 1972114403
Social Worker - Clinical in Catonsville, MD

Active since August 10, 2020
711 MAIDEN CHOICE LN, CATONSVILLE, MD 21228(410) 247-5602(410) 242-1756 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Erickson Health Medical Group Of Maryland, Pc NPPES

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

ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC (NPI 1972114403) is a healthcare organization registered as a clinical in Catonsville, Maryland and active in the NPI registry since August 2020. The organization lists Donna Ethel Rachuba, Medical Staff Services Director, as its authorized official.

NPPES Registry Identity

NPI1972114403
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC
Location Address711 MAIDEN CHOICE LNCatonsville, MD 21228-3632
Mailing AddressPo Box 783712Philadelphia, PA 19178-3712 · (800) 360-3851 · Fax (410) 402-2265
Fax(410) 242-1756
Organization SubpartNo
Authorized OfficialDonna Ethel RachubaMedical Staff Services Director · (410) 402-2258
Enumeration DateAugust 10, 2020
NPPES CertifiedAugust 10, 2020
NPI 1972114403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
711 MAIDEN CHOICE LN, Catonsville, MD 21228

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Internal Medicine
711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Internal Medicine
711 MAIDEN CHOICE LN
BALTIMORE, MD 21228
Internal Medicine (Geriatric Medicine)
711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Nurse Practitioner (Family)
711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Internal Medicine
711 MAIDEN CHOICE LN
BALTIMORE, MD 21228
Internal Medicine (Geriatric Medicine)
711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Clinical Nurse Specialist (Psychiatric/Mental Health)
711 MAIDEN CHOICE LN
BALTIMORE, MD 21228
Podiatrist
711 MAIDEN CHOICE LN
BALTIMORE, MD 21228

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 Erickson Health Medical Group Of Maryland, PC's NPI number?

The NPI number for Erickson Health Medical Group Of Maryland, PC is 1972114403. It was assigned to this organization in the NPPES registry on August 10, 2020.

Where is Erickson Health Medical Group Of Maryland, PC located?

Erickson Health Medical Group Of Maryland, PC is located at 711 Maiden Choice Ln, Catonsville, MD 21228. The listed phone number is (410) 247-5602.

What is Erickson Health Medical Group Of Maryland, PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Erickson Health Medical Group Of Maryland, PC was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.