Provider Demographics
NPI:1205850740
Name:CRICHTON, ERIKA MIELLE (MSW)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:MIELLE
Last Name:CRICHTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 139
Mailing Address - Street 2:
Mailing Address - City:LA CONNER
Mailing Address - State:WA
Mailing Address - Zip Code:98257-0139
Mailing Address - Country:US
Mailing Address - Phone:360-419-3623
Mailing Address - Fax:
Practice Address - Street 1:1220 MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-3209
Practice Address - Country:US
Practice Address - Phone:360-419-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker