Provider Demographics
NPI:1952566010
Name:BROPHY, ERICA L (LICSW)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:L
Last Name:BROPHY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:L
Other - Last Name:LAWTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2038
Mailing Address - Country:US
Mailing Address - Phone:508-634-3100
Mailing Address - Fax:508-634-5055
Practice Address - Street 1:176 WEST ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2236
Practice Address - Country:US
Practice Address - Phone:508-634-3100
Practice Address - Fax:508-634-5055
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA113310104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker