Doctor Name: | ERICA J OLIPHANT |
NPI Number: | 1366793234 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW016248 |
Business Practice Address: | 515 Broad St Perryville, MD - 219032678 |
Business Phone Number: | 4106422411 |
Business Fax Number: | |
Mailing Address: | 232 Roosevelt Ave, DOWNINGTOWN |
State: | PA |
Postal Code: | 193352992 |
Phone Number: | 6108731098 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2012 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW016248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |