Provider Demographics
NPI:1588817852
Name:MCEWAN, ERYN FRANCES (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ERYN
Middle Name:FRANCES
Last Name:MCEWAN
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:PO BOX 242
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01966-0242
Mailing Address - Country:US
Mailing Address - Phone:617-794-0622
Mailing Address - Fax:
Practice Address - Street 1:126 HARVARD ST FL 3
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6426
Practice Address - Country:US
Practice Address - Phone:617-794-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1161121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical