Healthcare Provider Details

I. General information

NPI: 1902729338
Provider Name (Legal Business Name): ERICA SALPINO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19101 DOWDEN CIR
POOLESVILLE MD
20837-2142
US

IV. Provider business mailing address

11001 HIDDEN FOX CT
ELLICOTT CITY MD
21042-6124
US

V. Phone/Fax

Practice location:
  • Phone: 301-518-7199
  • Fax:
Mailing address:
  • Phone: 301-518-7199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLGM879
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: