Provider Demographics
NPI:1326619958
Name:DE LA PENA, ERIKA FAITH (LMSW)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:FAITH
Last Name:DE LA PENA
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 1:2124 KING JAMES PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-1557
Mailing Address - Country:US
Mailing Address - Phone:915-777-5202
Mailing Address - Fax:
Practice Address - Street 1:1219 BARRANCA DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-4601
Practice Address - Country:US
Practice Address - Phone:915-779-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
TX64936104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker