DR. ERICKA LISLE WODKA (NPI# 1033256342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033256342 |
| Entity Type | Individual |
| Full Name | DR. ERICKA LISLE WODKA |
| Other Name | ERICKA LISLE ANDERSON |
| Credential | PH.D. |
| Practice Address |
3901 Greenspring Ave Baltimore MD 21211-1353 |
| Practice Telephone | 4439237717 |
| Mailing Telephone | 4439237717 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 04646 | MD | Behavioral Health & Social Service Providers |
| Street Address |
3901 GREENSPRING AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194767491 | Roma Vasa | Psychiatry & Neurology | 3901 Greenspring Ave, Kennedy Krieger Institute, Deptartment of Psychiatry, Baltimore, MD 21211 | 2006-06-12 |
| 1255930723 | Erin Musgrove | Speech-Language Pathologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2020-10-25 |
| 1730705674 | Maura Collins | Student in an Organized Health Care Education/Training Program | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2020-06-16 |
| 1609401280 | Christine Reiner Hess | Psychologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2020-03-04 |
| 1063069805 | Rachel Reetzke | Speech-Language Pathologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2019-08-26 |
| 1881249860 | Lauramarie Pope | Speech-Language Pathologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2019-08-06 |
| 1750867586 | Nivoariliana Ramy Rabe | Behavior Technician | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2018-07-15 |
| 1902232291 | Kelly Anne Sheperd Riolo | Psychologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2013-09-19 |
| 1639514771 | Megan Myatt | Speech-Language Pathologist | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2013-05-02 |
| 1982948543 | Chana Richter | Pediatrics | 3901 Greenspring Ave, Baltimore, MD 21211-1353 | 2012-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
| Find all providers in zip 21211 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333107 | Keenan Alexander Walker | Clinical Neuropsychologist | Phipps, Room 446, 600 North Wolfe Street, Baltimore, MD 21287 | 2017-05-18 |
| 1588008510 | Jacqueline R Weaver | Clinical Neuropsychologist | 2200 Kernan Dr Ofc 1219, Baltimore, MD 21207-6665 | 2013-04-21 |
| 1275875221 | Matthew Lawrence Cohen | Clinical Neuropsychologist | Meyer 218 The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2013-03-17 |
| 1972898062 | Joseph Jason Van Steenburgh | Clinical Neuropsychologist | 1629 Thames St Ste 350, Division of Cognitive Neurology, Baltimore, MD 21231-3440 | 2011-06-16 |
| 1346554011 | Lindsey Elizabeth Kirsch-darrow | Clinical Neuropsychologist | Physical Medicine and Rehab 600 North Wolfe St, Phipps 174, Baltimore, MD 21287-0001 | 2010-08-04 |
| 1366699076 | Sally Long | Clinical Neuropsychologist | 600 N. Wolfe St, Meyer 218, Baltimore, MD 21287-7218 | 2008-08-25 |
| 1326236571 | Brenda Hanna-pladdy | Clinical Neuropsychologist | 110 S Paca Street 3rd Floor, University of Maryland School of Medicine, Baltimore, MD 21201 | 2007-10-11 |
| 1972116200 | Kalina Eneva Hurley | Clinical Neuropsychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-08-26 |
| 1396356077 | Jessica Cinda Dalrymple | Clinical Neuropsychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-08-14 |
| 1457960650 | Marilyn Albert | Clinical Neuropsychologist | 1620 Mcelderry St, Baltimore, MD 21205-1911 | 2020-07-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.