Provider Demographics
NPI:1073381323
Name:HUESTON, ERICA NICOLE (MSW, LSW)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:NICOLE
Last Name:HUESTON
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 FREDRICK DR
Mailing Address - Street 2:
Mailing Address - City:FARRELL
Mailing Address - State:PA
Mailing Address - Zip Code:16121-1525
Mailing Address - Country:US
Mailing Address - Phone:724-866-6041
Mailing Address - Fax:
Practice Address - Street 1:310 FREDRICK DR
Practice Address - Street 2:
Practice Address - City:FARRELL
Practice Address - State:PA
Practice Address - Zip Code:16121-1525
Practice Address - Country:US
Practice Address - Phone:724-866-6041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW140560104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker