Provider Demographics
NPI:1376227389
Name:HERRERA, ERIKA (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:HERRERA
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2955 BANDERAS LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-3713
Mailing Address - Country:US
Mailing Address - Phone:347-488-2126
Mailing Address - Fax:
Practice Address - Street 1:2116 HOLLOW BROOK DR STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1443
Practice Address - Country:US
Practice Address - Phone:719-966-1881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY119644104100000X
COLSW.0009924822104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker