Provider Demographics
NPI:1356500466
Name:ROBER, ERINA (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:ERINA
Middle Name:
Last Name:ROBER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 SURF AVE APT 17G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3519
Mailing Address - Country:US
Mailing Address - Phone:718-372-0824
Mailing Address - Fax:
Practice Address - Street 1:501 SURF AVE APT 17G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-3519
Practice Address - Country:US
Practice Address - Phone:718-372-0824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN01B41Medicare PIN