Provider Demographics
NPI:1366951048
Name:MILLER, ERIKA LYNN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:LYNN
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:LYNN
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:566 MCMURDY HILL RD
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:NY
Mailing Address - Zip Code:13788-2455
Mailing Address - Country:US
Mailing Address - Phone:315-868-1647
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:NY
Practice Address - Zip Code:13856-1454
Practice Address - Country:US
Practice Address - Phone:607-832-5888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical