Provider Demographics
NPI:1619627205
Name:PIERCE, ERIKA NICOLETTE (LICSW)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:NICOLETTE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 STREAM VISTA PL APT 208
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-7277
Mailing Address - Country:US
Mailing Address - Phone:240-355-7115
Mailing Address - Fax:
Practice Address - Street 1:2265 STREAM VISTA PL APT 208
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-7277
Practice Address - Country:US
Practice Address - Phone:240-355-7115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500823191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical