Provider Demographics
NPI:1326294760
Name:TIERNO, ERIN MCMAUGH (LCSW-R)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MCMAUGH
Last Name:TIERNO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:MCMAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:200 W BUTLER AVE UNIT 3161
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-5854
Mailing Address - Country:US
Mailing Address - Phone:212-317-7055
Mailing Address - Fax:
Practice Address - Street 1:5 UNION SQ W
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3306
Practice Address - Country:US
Practice Address - Phone:212-317-7055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC059751001041C0700X
COCSW.099242631041C0700X
CT131631041C0700X
NYR077035-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
NY00695941Medicaid