Provider Demographics
NPI:1396974549
Name:MORALES, ERICK (LMSW)
Entity type:Individual
Prefix:MR
First Name:ERICK
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-2117
Mailing Address - Country:US
Mailing Address - Phone:212-828-6160
Mailing Address - Fax:212-828-6145
Practice Address - Street 1:2089 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-2117
Practice Address - Country:US
Practice Address - Phone:212-828-6160
Practice Address - Fax:212-828-6145
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ066811-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker