Provider Demographics
NPI:1225380538
Name:SCARTH, ERIN E (PSYD LCSW LCDC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:E
Last Name:SCARTH
Suffix:
Gender:F
Credentials:PSYD LCSW LCDC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:E
Other - Last Name:NICKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2833 BEAR SPRINGS TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1059
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1016 LA POSADA DR
Practice Address - Street 2:SUITE 285
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-3847
Practice Address - Country:US
Practice Address - Phone:512-206-0808
Practice Address - Fax:512-206-0844
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9736101YA0400X
PAPS01231103TC0700X
TX374861041C0700X
PACW0156671041C0700X
TX36414103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist