Healthcare Provider Details

I. General information

NPI: 1679853774
Provider Name (Legal Business Name): ERIK SHERMAN LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2011
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25050 AVENUE KEARNY STE 203
VALENCIA CA
91355-1257
US

IV. Provider business mailing address

205 PASADENA AVE
SOUTH PASADENA CA
91030-2919
US

V. Phone/Fax

Practice location:
  • Phone: 213-207-6561
  • Fax:
Mailing address:
  • Phone: 626-356-1513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number100892
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: