Erica Smuckler, LCSW

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

66 Pine St
New City, NY 10956-6236

Phone

(914) 348-3040

NPI assigned

Oct 10, 2007

Last updated

Feb 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Erica Smuckler, LCSW, P.C.

  dba Courageous Kids Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Nyack, NY
  • NPI 1003536699

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1184812588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PINE ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566236",
            "telephone_number": "914-348-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PINE ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566236",
            "telephone_number": "914-348-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108-19 Rockaway Blvd",
            "address_purpose": "LOCATION",
            "city": "Ozone Park",
            "state": "NY",
            "postal_code": "11420",
            "country_code": "US",
            "telephone_number": "718-845-2620",
            "fax_number": "718-845-9380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMUCKLER",
        "first_name": "ERICA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "00075599",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078578",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00075599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribel Slade, R.N.
• Kiera Smith
• Maureen B Smith, PHD
• Monica Anais Smith
• Stacey Smith, RDN, CDN
• Agnes Sobieraj, DC
• Ian D Sobler, DDS
• Sharon Sobol, P.T.
• Steven Mark Sockin, M.D.
• Heather Solomon

• School Psychologist in New City, NY
• Providers in New City, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.