Provider Demographics
NPI:1801352620
Name:LEONARD, ERICKA (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:ERICKA
Middle Name:
Last Name:LEONARD
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 1:6655 SANTA BARBARA RD
Mailing Address - Street 2:#8641
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-2707
Mailing Address - Country:US
Mailing Address - Phone:617-412-7223
Mailing Address - Fax:
Practice Address - Street 1:306 W JOPPA RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-4017
Practice Address - Country:US
Practice Address - Phone:202-505-7497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-17
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040126981041C0700X
MD212551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical