Provider Demographics
NPI:1154639193
Name:YAKER, ERICA LANSKY (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:LANSKY
Last Name:YAKER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6960 ORCHARD LAKE RD
Mailing Address - Street 2:100
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4515
Mailing Address - Country:US
Mailing Address - Phone:248-626-1500
Mailing Address - Fax:248-626-1551
Practice Address - Street 1:6960 ORCHARD LAKE RD
Practice Address - Street 2:100
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4515
Practice Address - Country:US
Practice Address - Phone:248-626-1500
Practice Address - Fax:248-626-1551
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010879311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical