Provider Demographics
NPI:1447384649
Name:KORMAN, ERICA P (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:P
Last Name:KORMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 THIRD AVE.
Mailing Address - Street 2:APT. 15B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:917-841-4847
Mailing Address - Fax:
Practice Address - Street 1:382 THIRD AVE.
Practice Address - Street 2:APT. 15B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0000
Practice Address - Country:US
Practice Address - Phone:917-841-4847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073043-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical