Provider Demographics
NPI:1346898582
Name:HURTADO, ERIKA (LSW)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:HURTADO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 HARRISON ST APT A17
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2683
Mailing Address - Country:US
Mailing Address - Phone:201-724-3069
Mailing Address - Fax:
Practice Address - Street 1:19 HUTTON AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-4803
Practice Address - Country:US
Practice Address - Phone:973-672-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker