Provider Demographics
NPI:1891082939
Name:CLEAVER, ERICA LINETTE (MSW)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:LINETTE
Last Name:CLEAVER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 113
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:AK
Mailing Address - Zip Code:99741-0113
Mailing Address - Country:US
Mailing Address - Phone:907-656-1366
Mailing Address - Fax:
Practice Address - Street 1:77 ANTOSKI ROAD
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:AK
Practice Address - Zip Code:99741-0113
Practice Address - Country:US
Practice Address - Phone:907-656-1366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker