Provider Demographics
NPI:1639572969
Name:WARDLEY, ERMA J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ERMA
Middle Name:J
Last Name:WARDLEY
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Gender:F
Credentials:LCSW
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Mailing Address - Street 1:P. O. BOX 1565
Mailing Address - Street 2:REHAB ABILITIES
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91729
Mailing Address - Country:US
Mailing Address - Phone:800-642-5031
Mailing Address - Fax:909-989-7633
Practice Address - Street 1:150 MUIR ROAD (BUILDING AB-6) US DEPARTMENT OF VETERANS
Practice Address - Street 2:AFFAIRS NORTHERN CALIFORNIA HEALTH CARE SYSTEM (CONTRAC
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553
Practice Address - Country:US
Practice Address - Phone:925-372-2451
Practice Address - Fax:925-372-2017
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
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Provider Licenses
StateLicense IDTaxonomies
CALCSW85251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical