Provider Demographics
NPI:1336378207
Name:KING, ERIKA RUTH (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:RUTH
Last Name:KING
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 UNION RD STE 225
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-1093
Mailing Address - Country:US
Mailing Address - Phone:314-730-6787
Mailing Address - Fax:
Practice Address - Street 1:4121 UNION RD STE 225
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-1093
Practice Address - Country:US
Practice Address - Phone:314-730-6787
Practice Address - Fax:314-730-6585
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490121711041C0700X
MO20070363661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical