Whitehurst, Erica Jean

Whitehurst, Erica Jean is an individual health care provider with primary practice located at 30 South Ave , Smithtown NY 11787-3845. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Whitehurst, Erica Jean can be contacted via phone (631) 979-1868.

Contact Information

Primary practice address
30 South Ave Smithtown NY 11787-3845
Phone: (631) 979-1868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R049136-1 New York
Behavioral Health & Social Service Providers / School 1041S0200X 629894051 New York

Profile Details

NPI number 1144767443
LBN Legal business name Whitehurst, Erica Jean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Jan 24th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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