Healthcare Provider Details

I. General information

NPI: 1134502800
Provider Name (Legal Business Name): ERIKA CANO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 SO. LAFAYETTE PARK PLACE 3RD FLOOR
LA CA
90057-5400
US

IV. Provider business mailing address

520 SO. LAFAYETTE PARK PLACE 3RD FLOOR
LA CA
90057-5400
US

V. Phone/Fax

Practice location:
  • Phone: 213-252-2100
  • Fax: 213-383-3146
Mailing address:
  • Phone: 213-252-2100
  • Fax: 213-383-3146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW67146
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW102576
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: