Provider Demographics
NPI:1801230271
Name:BROWN, ERIKA LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYNN
Last Name:BROWN
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 1:4506 INCHCAPE COURT
Mailing Address - Street 2:
Mailing Address - City:MOSELEY
Mailing Address - State:VA
Mailing Address - Zip Code:23120-1297
Mailing Address - Country:US
Mailing Address - Phone:804-229-4292
Mailing Address - Fax:804-234-8011
Practice Address - Street 1:4581 LIFESTYLE LN
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4807
Practice Address - Country:US
Practice Address - Phone:804-229-4292
Practice Address - Fax:804-234-8011
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040081981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1801230271Medicaid