Provider Demographics
NPI:1932651098
Name:OPPENHEIMER, ERICA (LMSW)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:OPPENHEIMER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 WILD CYPRESS CIR
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32081-5724
Mailing Address - Country:US
Mailing Address - Phone:347-377-0973
Mailing Address - Fax:
Practice Address - Street 1:50 COURT ST
Practice Address - Street 2:901
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4879
Practice Address - Country:US
Practice Address - Phone:718-928-6939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1134361041C0700X
FLSW211581041C0700X
NY0982131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical