Healthcare Provider Details

I. General information

NPI: 1376232199
Provider Name (Legal Business Name): ERICA E YERKE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1385 POCONO BLVD
MOUNT POCONO PA
18344-1678
US

IV. Provider business mailing address

1385 POCONO BLVD
MOUNT POCONO PA
18344-1678
US

V. Phone/Fax

Practice location:
  • Phone: 570-476-7704
  • Fax: 570-421-3600
Mailing address:
  • Phone: 570-476-7704
  • Fax: 570-421-3600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW024921
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: