Provider Demographics
NPI:1669973343
Name:ARIZA, ERICA (LCSW)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:ARIZA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2741 HAMNER AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-3630
Mailing Address - Country:US
Mailing Address - Phone:951-324-4644
Mailing Address - Fax:888-889-0638
Practice Address - Street 1:2741 HAMNER AVE STE 202
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-3630
Practice Address - Country:US
Practice Address - Phone:951-324-4644
Practice Address - Fax:888-889-0638
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-27
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA349561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical