Provider Demographics
NPI:1316693070
Name:LENNON, ERICA (LMSW)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:LENNON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:47 OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-5326
Mailing Address - Country:US
Mailing Address - Phone:567-731-6516
Mailing Address - Fax:844-290-2129
Practice Address - Street 1:47 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-5326
Practice Address - Country:US
Practice Address - Phone:567-731-6516
Practice Address - Fax:844-290-2129
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059833104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker