Prism Identity And Intimacy Llc

Clinical Social Worker · Erie, PA

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At a glance

502 W 7Th St Ste 100, Erie, PA 16502-1333

NPPES record updated Jul 14, 2026. Public records can lag behind changes at a practice.

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Practice location

502 W 7Th St Ste 100
Erie, PA 16502-1333

Professional details: NPI, taxonomy & registry record

NPI1588583363

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Jul 14, 2026
Record updated: Jul 14, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

502 W 7Th St Ste 100
Erie, PA 16502-1333

Phone: (610) 936-6952

Mailing address

502 W 7TH ST STE 100

ERIE, PA 165021333

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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