Provider Demographics
NPI:1851691760
Name:BEISCHER, ERIN P (LCSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:P
Last Name:BEISCHER
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 1:27 BAILEY AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-1802
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:65 N FRANKLIN TPKE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-2005
Practice Address - Country:US
Practice Address - Phone:201-970-0620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053738001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical