Provider Demographics
NPI:1790485381
Name:SCHWEIKART, ERIN IRENE
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:IRENE
Last Name:SCHWEIKART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 VETERANS AVE
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-0840
Mailing Address - Country:US
Mailing Address - Phone:607-664-4501
Mailing Address - Fax:607-664-4503
Practice Address - Street 1:24 MAPLE VIEW LN OFC 2
Practice Address - Street 2:
Practice Address - City:COUDERSPORT
Practice Address - State:PA
Practice Address - Zip Code:16915-9527
Practice Address - Country:US
Practice Address - Phone:607-794-3297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW128101104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker