Basic Information
Provider Information
NPI: 1134502800
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CANO
FirstName: ERIKA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 520 SO. LAFAYETTE PARK PLACE 3RD FLOOR
Address2:  
City: LA
State: CA
PostalCode: 900575400
CountryCode: US
TelephoneNumber: 2132522100
FaxNumber: 2133833146
Practice Location
Address1: 520 SO. LAFAYETTE PARK PLACE 3RD FLOOR
Address2:  
City: LA
State: CA
PostalCode: 900575400
CountryCode: US
TelephoneNumber: 2132522100
FaxNumber: 2133833146
Other Information
ProviderEnumerationDate: 06/30/2015
LastUpdateDate: 09/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XASW67146CAN Behavioral Health & Social Service ProvidersCounselorMental Health
171M00000X  N Other Service ProvidersCase Manager/Care Coordinator 
1041C0700XLCSW102576CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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