Provider Demographics
NPI:1568650240
Name:JEWELL, ERIKA K (MSW)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:K
Last Name:JEWELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:ERIKA
Other - Middle Name:K
Other - Last Name:JEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2801 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1701
Mailing Address - Country:US
Mailing Address - Phone:562-933-0045
Mailing Address - Fax:562-933-8016
Practice Address - Street 1:1111 W LA PALMA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2804
Practice Address - Country:US
Practice Address - Phone:714-999-6184
Practice Address - Fax:714-999-3970
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 237521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical