Kelly Linda Erickson-Jorge, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

079786 Issued in NY

Practice address

459 E 149TH St
Bronx, NY 10455-1314

Phone

(855) 681-8700

Fax

(646) 380-1322

NPI assigned

May 24, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1063940807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 W 35TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012505",
            "telephone_number": "718-681-8700",
            "fax_number": "646-380-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551314",
            "telephone_number": "855-681-8700",
            "fax_number": "646-380-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON-JORGE",
        "first_name": "KELLY",
        "middle_name": "LINDA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jovan Erfan
• Tarek Erfan
• Mohamad Erfani, M.D.
• Heather A Erhard, MD
• Efosa Erhunmwunse, PT, DPT
• Eric Geovanni Erickson, LCSW
• Evelyn Nathalie Erickson, MD
• Jessica Erickson
• Marissa Erickson, DDS
• Katherine Ericson, MD

• Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.