Provider Demographics
NPI:1821484551
Name:SPRINGER, ERICA (LMSW)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3444 DAVENPORT AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-3306
Mailing Address - Country:US
Mailing Address - Phone:989-443-4682
Mailing Address - Fax:989-401-1822
Practice Address - Street 1:3444 DAVENPORT AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-3306
Practice Address - Country:US
Practice Address - Phone:989-443-4682
Practice Address - Fax:989-401-1822
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-09
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801088228104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker