Provider Demographics
NPI:1730312703
Name:ZACHARY, ERICA SIMONE (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:SIMONE
Last Name:ZACHARY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8830 ORCHARD TREE LN
Mailing Address - Street 2:SUITE 127
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2143
Mailing Address - Country:US
Mailing Address - Phone:443-632-3606
Mailing Address - Fax:
Practice Address - Street 1:8830 ORCHARD TREE LN
Practice Address - Street 2:SUITE 127
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21286-2143
Practice Address - Country:US
Practice Address - Phone:443-632-3606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD105471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical