Provider Demographics
NPI:1164872495
Name:PEREZ, ERICA MICHELE (LCSW)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:MICHELE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 ARCO RD # 10
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1923
Mailing Address - Country:US
Mailing Address - Phone:704-942-1496
Mailing Address - Fax:
Practice Address - Street 1:108 ARCO RD # 10
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1923
Practice Address - Country:US
Practice Address - Phone:704-942-1496
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0120581041C0700X
NCP0099761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical