Provider Demographics
NPI:1376232199
Name:YERKE, ERICA E (LSW)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:E
Last Name:YERKE
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 1:201 LACKAWANNA AVE STE 316
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18503-1953
Mailing Address - Country:US
Mailing Address - Phone:570-766-0772
Mailing Address - Fax:
Practice Address - Street 1:16 CROWN DR
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:PA
Practice Address - Zip Code:18644-6005
Practice Address - Country:US
Practice Address - Phone:570-357-5671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134449104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker