Provider Demographics
NPI:1396167516
Name:MUNIIR, ERICA (MSW, LSW)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:
Last Name:MUNIIR
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:HUSTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:215 HARVARD RD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-8618
Mailing Address - Country:US
Mailing Address - Phone:609-653-4612
Mailing Address - Fax:609-926-4721
Practice Address - Street 1:100 MEDICAL CENTER WAY
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2300
Practice Address - Country:US
Practice Address - Phone:609-653-4612
Practice Address - Fax:609-926-4721
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05922700104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker