Provider Demographics
NPI:1629140579
Name:MCDONALD, ERIN E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:E
Last Name:MCDONALD
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 1:718 ALHAMBRA BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3825
Mailing Address - Country:US
Mailing Address - Phone:916-451-1636
Mailing Address - Fax:916-441-0367
Practice Address - Street 1:2015 21ST ST
Practice Address - Street 2:SUITE 205
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-1752
Practice Address - Country:US
Practice Address - Phone:916-451-1636
Practice Address - Fax:916-441-0367
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 148721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical