Provider Demographics
NPI:1235462334
Name:CLAXTON, ERIN MICHAEL (LCSW-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MICHAEL
Last Name:CLAXTON
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10620 CHISHOLM LANDING TER
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4260
Mailing Address - Country:US
Mailing Address - Phone:301-580-2886
Mailing Address - Fax:301-740-1978
Practice Address - Street 1:932 HUNGERFORD DR STE 18B
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1751
Practice Address - Country:US
Practice Address - Phone:301-580-2886
Practice Address - Fax:301-740-1978
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD131391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical