Erica Smuckler, Lcsw, P.C.
Clinic/Center, Adolescent and Children Mental Health in Nyack, NY. Organization (NPI-2).
NPI number1003536699
StatusActive
Last updated in NPPESSep 1, 2022
Details
- NPI
- 1003536699
- Entity type
- Organization (NPI-2)
- Legal business name
- Erica Smuckler, Lcsw, P.C.
- Organization subpart
- No
- Enumeration date
- Sep 1, 2022
- Certification date
- Sep 1, 2022
- Last updated
- Sep 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Other names
- Courageous Kids Counseling (Doing Business As)
Practice location
99 Main St Ste 516Nyack, NY 10960-3109
Phone 914-348-3040
Mailing address
66 Pine StNew City, NY 10956-6236
Phone 914-348-3040
Authorized official
Erica Smuckler
Owner, Lcsw
9143483040
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