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NPI Code Detail

MEDICARE: MISS ERIN HERZOG LCSW

MEDICARE: MISS ERIN HERZOG LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker102354NY
2104100000XSocial Worker113770NY

General Provider Information

NPI Number : 1043960768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ERIN HERZOG LCSW
Provider Business Mailing Address
First Line : 356 W 18TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10011-4401
Country : US
Telephone Number : 212-271-7206
Fax Number :
Provider Business Practice Location Address
First Line : 356 W 18TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10011-4401
Country : US
Telephone Number : 212-271-7206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2022
Last Update Date : 04/14/2026

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Directions to “ MISS ERIN HERZOG LCSW” Practice Location

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