MEDICARE: ERIKA C NOLL LMSW

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
1	171400000X	Health & Wellness Coach	04232025	NY
2	104100000X	Social Worker	056081	NY

General Provider Information

NPI Number	:	1205322617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA C NOLL LMSW

Provider Business Mailing Address
First Line	:	21 INDIA ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-7300
Country	:	US
Telephone Number	:	347-988-8253
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 INDIA STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222
Country	:	US
Telephone Number	:	347-988-8253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2018
Last Update Date	:	03/13/2026

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