Mortimer, Erica

Mortimer, Erica is an individual health care provider with primary practice located at 20 Scotch Rd Ste B , Ewing NJ 08628-2529. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mortimer, Erica can be contacted via phone (888) 500-9279.

Contact Information

Primary practice address
20 Scotch Rd Ste B Ewing NJ 08628-2529
Phone: (888) 500-9279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00241100 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37C00533900 New Jersey

Profile Details

NPI number 1104310507
LBN Legal business name Mortimer, Erica
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2018
Last updated Jun 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104310507 NPPES
New Jersey Other 37LC00241100 LCADC LICENSE NUMBER
New Jersey Other 37PC00533900 LCADC LICENSE NUMBER

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