Individual provider · NPI-1
Erin Hertrich
Social Worker, Clinical · Southampton, NJ
NPI number1679142863
StatusActive
Last updated in NPPESJul 25, 2021
Details
- NPI
- 1679142863
- Entity type
- Individual (NPI-1)
- Name
- Erin Hertrich
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jul 25, 2021
- Last updated
- Jul 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SL06670500 | NJ | Yes |
Practice location
209 New Freedom RdSouthampton, NJ 08088-2803
Phone 347-351-6076
Mailing address
160 Eagle Rock Ave Unit 64Roseland, NJ 07068-6603
Phone 347-351-6076
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