Provider Demographics
NPI:1821189515
Name:HARTLAUF, ERICA A (MSW, CSW)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:A
Last Name:HARTLAUF
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:578 WOODLAND PASS
Mailing Address - Street 2:
Mailing Address - City:MOUNT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047-5823
Mailing Address - Country:US
Mailing Address - Phone:502-417-2038
Mailing Address - Fax:
Practice Address - Street 1:578 WOODLAND PASS
Practice Address - Street 2:
Practice Address - City:MOUNT WASHINGTON
Practice Address - State:KY
Practice Address - Zip Code:40047-5823
Practice Address - Country:US
Practice Address - Phone:502-417-2038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4657104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker