Provider Demographics
NPI:1649407727
Name:MASON, ERIN CHRISTINE (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:CHRISTINE
Last Name:MASON
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 1:439 N LARCHMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-3043
Mailing Address - Country:US
Mailing Address - Phone:818-209-7573
Mailing Address - Fax:323-931-6027
Practice Address - Street 1:439 N LARCHMONT BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-3043
Practice Address - Country:US
Practice Address - Phone:818-209-7573
Practice Address - Fax:323-931-6027
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 251471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical