Provider Demographics
NPI:1306024617
Name:HAMBLIN, ERIN E (MSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:HAMBLIN
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 1:1719 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-5703
Mailing Address - Country:US
Mailing Address - Phone:773-369-5243
Mailing Address - Fax:
Practice Address - Street 1:1719 E 54TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-5703
Practice Address - Country:US
Practice Address - Phone:773-369-5243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool