Provider Demographics
NPI:1477988079
Name:GATES, ERIN M (LMSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:GATES
Suffix:
Gender:F
Credentials:LMSW
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 30161
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48909-7661
Mailing Address - Country:US
Mailing Address - Phone:517-887-4467
Mailing Address - Fax:517-244-7174
Practice Address - Street 1:901 E MOUNT HOPE AVE UPPR LEVEL
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-3279
Practice Address - Country:US
Practice Address - Phone:517-267-3400
Practice Address - Fax:517-372-9188
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801094948104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker