Provider Demographics
NPI:1982022646
Name:GERRING, ERICA (LISW-CP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:GERRING
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:FRANKEL
Other - Last Name:SLATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:148 WALL ST APT 217
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29020-7670
Mailing Address - Country:US
Mailing Address - Phone:240-220-9997
Mailing Address - Fax:
Practice Address - Street 1:431 MEADOWLARK ST # DT
Practice Address - Street 2:
Practice Address - City:SHAW AFB
Practice Address - State:SC
Practice Address - Zip Code:29152-5019
Practice Address - Country:US
Practice Address - Phone:803-895-6199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-31
Last Update Date:2024-03-10
Deactivation Date:2014-11-07
Deactivation Code:
Reactivation Date:2018-01-23
Provider Licenses
StateLicense IDTaxonomies
GACSW0063641041C0700X
MD145181041C0700X
SC124841041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical