Provider Demographics
NPI:1629703046
Name:WEEKES, ERIN O (LISW-CP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:O
Last Name:WEEKES
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 LUCIANLAKE DR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29154-6276
Mailing Address - Country:US
Mailing Address - Phone:803-847-9717
Mailing Address - Fax:
Practice Address - Street 1:830 LUCIANLAKE DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29154-6276
Practice Address - Country:US
Practice Address - Phone:803-847-9717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC152951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical