Provider Demographics
NPI:1992885537
Name:PIERCE, ERIC ANDREW (LCSW)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:ANDREW
Last Name:PIERCE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1458 WESTERLY TER
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-1652
Mailing Address - Country:US
Mailing Address - Phone:323-868-9266
Mailing Address - Fax:
Practice Address - Street 1:2967 SCOTT PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-2203
Practice Address - Country:US
Practice Address - Phone:323-868-9266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA204511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical