Provider Demographics
NPI:1578023446
Name:KREMER, ERIN ELISABETH (MSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ELISABETH
Last Name:KREMER
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 1:1824 WOODMOOR DR STE 101
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-9097
Mailing Address - Country:US
Mailing Address - Phone:719-445-9330
Mailing Address - Fax:
Practice Address - Street 1:1824 WOODMOOR DR STE 101
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-9097
Practice Address - Country:US
Practice Address - Phone:719-445-9330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker