Provider Demographics
NPI:1568650240
Name:JEWELL, ERIKA K (LCSW, ACM)
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:K
Last Name:JEWELL
Suffix:
Gender:F
Credentials:LCSW, ACM
Other - Prefix:MS
Other - First Name:ERIKA
Other - Middle Name:K
Other - Last Name:JEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2801 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1701
Mailing Address - Country:US
Mailing Address - Phone:562-933-0045
Mailing Address - Fax:562-933-8016
Practice Address - Street 1:1201 W LA VETA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4203
Practice Address - Country:US
Practice Address - Phone:714-509-8521
Practice Address - Fax:714-509-3648
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 237521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical