Provider Demographics
NPI:1891510491
Name:MCELROY BARKER, ERIN A (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:A
Last Name:MCELROY BARKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 HERBERT AVE
Mailing Address - Street 2:
Mailing Address - City:FANWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07023-1643
Mailing Address - Country:US
Mailing Address - Phone:917-747-9973
Mailing Address - Fax:
Practice Address - Street 1:143 HERBERT AVE
Practice Address - Street 2:
Practice Address - City:FANWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07023-1643
Practice Address - Country:US
Practice Address - Phone:917-747-9973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC049105001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical