Provider Demographics
NPI:1003536699
Name:ERICA SMUCKLER, LCSW, P.C.
Entity Type:Organization
Organization Name:ERICA SMUCKLER, LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LCSW
Authorized Official - Prefix:MS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMUCKLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-348-3040
Mailing Address - Street 1:66 PINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6236
Mailing Address - Country:US
Mailing Address - Phone:914-348-3040
Mailing Address - Fax:
Practice Address - Street 1:99 MAIN ST STE 516
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-3109
Practice Address - Country:US
Practice Address - Phone:914-348-3040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty