Individual
MS. ERICA SMUCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
66 PINE ST, NEW CITY, NY 10956-6236
(914) 348-3040
Mailing address
66 PINE ST, NEW CITY, NY 10956-6236
(914) 348-3040
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
103TS0200X
School Psychologist
—
NY
103TS0200X
School Psychologist
Primary
—
—
104100000X
Social Worker
00075599
NY
1041C0700X
Clinical Social Worker
078578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00075599
—
NY
Enumeration date
10/10/2007
Last updated
02/25/2021
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