Provider Demographics
NPI:1629596580
Name:VERHAGEN, ERIN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:VERHAGEN
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 1:100 ELBEL CT
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209-1239
Mailing Address - Country:US
Mailing Address - Phone:518-475-6448
Mailing Address - Fax:
Practice Address - Street 1:100 ELBEL CT
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209-1239
Practice Address - Country:US
Practice Address - Phone:518-475-6448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY088507104100000X
NY0875801041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No104100000XBehavioral Health & Social Service ProvidersSocial Worker