Provider Demographics
NPI:1568505212
Name:LAU, ERIN P (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:P
Last Name:LAU
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 DENNIS RD
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-2340
Mailing Address - Country:US
Mailing Address - Phone:781-584-2897
Mailing Address - Fax:781-584-2897
Practice Address - Street 1:70 DENNIS RD
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-2340
Practice Address - Country:US
Practice Address - Phone:781-584-2897
Practice Address - Fax:781-584-2897
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1133161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical