Healthcare Provider Details

I. General information

NPI: 1932061637
Provider Name (Legal Business Name): ERIKA GARDNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 STONEYBROOK DR APT 15
ABSECON NJ
08201-4386
US

IV. Provider business mailing address

8 STONEYBROOK DR APT 15
ABSECON NJ
08201-4386
US

V. Phone/Fax

Practice location:
  • Phone: 609-513-9729
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07365000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: