Provider Demographics
NPI:1588025175
Name:FROBENIUS, ERIN (LICSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:FROBENIUS
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:BEETHOVENSTRAAT
Mailing Address - Street 2:7-2
Mailing Address - City:AMSTERDAM
Mailing Address - State:NORTH HOLLAND
Mailing Address - Zip Code:1077 HK
Mailing Address - Country:NL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BEETHOVENSTRAAT
Practice Address - Street 2:7-2
Practice Address - City:AMSTERDAM
Practice Address - State:NORTH HOLLAND
Practice Address - Zip Code:1077 HK
Practice Address - Country:NL
Practice Address - Phone:310-611-2047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-10
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1187161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical