Provider Demographics
NPI:1730842865
Name:MUSGJERD, ERIKA (LCSW)
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:
Last Name:MUSGJERD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 6TH STREET
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215
Mailing Address - Country:US
Mailing Address - Phone:646-573-7576
Mailing Address - Fax:
Practice Address - Street 1:515 6TH STREET
Practice Address - Street 2:6TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:646-573-7576
Practice Address - Fax:718-780-3435
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105899104100000X
NY0969611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1548374549OtherNEW YORK PRESBYTERIAN BROOKLYN METHODIST HOSPITAL