Provider Demographics
NPI:1700776606
Name:SHONKA, ERIN LYNN (PLADC)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:LYNN
Last Name:SHONKA
Suffix:
Gender:F
Credentials:PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 E LOCUST ST APT 326
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-2608
Mailing Address - Country:US
Mailing Address - Phone:531-444-8630
Mailing Address - Fax:
Practice Address - Street 1:2809 N 20TH ST E
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-2702
Practice Address - Country:US
Practice Address - Phone:402-422-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-2200101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)