National Provider Identifier

Erica Johnson Hostetler, LMSW

Erica Johnson Hostetler, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 364-9179.

NPI 1043088420Ithaca, NYSocial Worker

Profile Overview

NPI
1043088420
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
December 15, 2023
Last Updated
December 15, 2023

Practice Location

  • 16 Cinema Dr
  • Ithaca, NY 14850-1674

Phone: (607) 364-9179

Mailing Address

  • 1 Penny Ln
  • Ithaca, NY 14850-6266

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1043088420
Entity Type
Individual
Last Name
Hostetler
First Name
Erica
Middle Name
Johnson
Credential
LMSW
Mailing Street Address
1 Penny Ln
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-6266
Mailing Country
US
Mailing Phone
(607) 342-2570
Practice Street Address
16 Cinema Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1674
Practice Country
US
Practice Phone
(607) 364-9179
Enumeration Date
December 15, 2023
Last Updated
December 15, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
December 15, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)