Provider Demographics
NPI:1992866172
Name:HARRINGTON, ERICA MARIE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:MARIE
Last Name:HARRINGTON
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 1:30475 BOTTOM CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-2723
Mailing Address - Country:US
Mailing Address - Phone:410-341-6164
Mailing Address - Fax:443-260-2754
Practice Address - Street 1:30475 BOTTOM CREEK DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-2723
Practice Address - Country:US
Practice Address - Phone:410-341-6164
Practice Address - Fax:443-260-2754
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD096121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
81540001OtherBCBS
754QMedicare PIN