Healthcare Provider Details

I. General information

NPI: 1922317353
Provider Name (Legal Business Name): ERIKA A SEARS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIKA A GONZALEZ LMSW

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 RIO RANCHO BLVD NE STE 203
RIO RANCHO NM
87124-1456
US

IV. Provider business mailing address

154 PRADO VERDE CT NE
RIO RANCHO NM
87124-6379
US

V. Phone/Fax

Practice location:
  • Phone: 505-226-2238
  • Fax:
Mailing address:
  • Phone: 575-649-4167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC-09873
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberM-07088
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: