Erika Lee Farias, LMSW

Individual provider Active NPI Social Worker · Setauket, NY

NPI 1407104201 · NPPES record last updated Aug 27, 2012

Key facts

NPI
1407104201
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
087123 (NY)
Practice address
13 Thompson Hay Path
Setauket, NY 11733-1317
Phone
(631) 751-0197
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
087123NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Welllife Network Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 087123 NY Yes

Addresses

Primary practice location

13 Thompson Hay Path
Setauket, NY 11733-1317

Mailing address

13 Thompson Hay Path
Setauket, NY 11733-1317
Phone (631) 751-0197

Other providers in Setauket, NY

All providers in Setauket, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.