Provider Demographics
NPI:1508523044
Name:ERWIN, DAYLE MEREDITH (LCSW)
Entity Type:Individual
Prefix:
First Name:DAYLE
Middle Name:MEREDITH
Last Name:ERWIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 ANCHOR DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:IN
Mailing Address - Zip Code:46052-3433
Mailing Address - Country:US
Mailing Address - Phone:317-903-7657
Mailing Address - Fax:
Practice Address - Street 1:520 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2299
Practice Address - Country:US
Practice Address - Phone:317-846-7721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34009486A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical