Provider Demographics
NPI:1194183335
Name:COPPERSMITH, ERICA D (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:D
Last Name:COPPERSMITH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:ROARING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:16673-2013
Mailing Address - Country:US
Mailing Address - Phone:814-329-0146
Mailing Address - Fax:
Practice Address - Street 1:429 MANOR DR
Practice Address - Street 2:SUITE 10
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4917
Practice Address - Country:US
Practice Address - Phone:814-472-6060
Practice Address - Fax:214-472-1293
Is Sole Proprietor?:No
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker