Provider Demographics
NPI:1518583533
Name:GOLDIN, ERIN S (LCSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:S
Last Name:GOLDIN
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 1:2609 TRELLIS GREEN CIR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-6984
Mailing Address - Country:US
Mailing Address - Phone:561-385-3255
Mailing Address - Fax:
Practice Address - Street 1:906 N PARHAM RD STE 206
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-6456
Practice Address - Country:US
Practice Address - Phone:561-385-3255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040088081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical