MEDICARE: ERICKA NICOLE NORRIS 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
1	1041C0700X	Clinical Social Worker	100411	NY
2	104100000X	Social Worker	44SL06622500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100411	OTHER	NY	NEW YORK STATE EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS
2	44SL06622500	OTHER	NJ	NJ DIVISION OF CONSUMER AFFAIRS - SOCIAL WORKER LICENSE NUMBER

General Provider Information

NPI Number	:	1972273753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICKA NICOLE NORRIS LCSW

Provider Business Mailing Address
First Line	:	308 COOK AVE
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-1217
Country	:	US
Telephone Number	:	917-841-6353
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 COOK AVE
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-1217
Country	:	US
Telephone Number	:	917-841-6353
Fax Number	:

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

Provider Enumeration Date	:	09/14/2021
Last Update Date	:	07/01/2025

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