Provider Demographics
NPI:1740635309
Name:REMSBERG, ERIKA JEAN (LCSW)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:JEAN
Last Name:REMSBERG
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 1:4204 TARKINGTON DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-6429
Mailing Address - Country:US
Mailing Address - Phone:727-777-4704
Mailing Address - Fax:727-264-8802
Practice Address - Street 1:8022 OLD COUNTY ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6409
Practice Address - Country:US
Practice Address - Phone:727-777-4704
Practice Address - Fax:727-264-8802
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2016-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL79641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical