Individual
ERIKA S CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4111 BARBARA LOOP SE STE E1, RIO RANCHO, NM 87124-1068
(505) 891-1583
Mailing address
PO BOX 4667, ALBUQUERQUE, NM 87196-4667
(505) 803-4719
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-3452
NM
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051349
—
NM
05
—
S1349
—
NM
Enumeration date
10/17/2006
Last updated
05/14/2024
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