Provider Demographics
NPI:1851861561
Name:OVERTURF, ERIN RENAE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:RENAE
Last Name:OVERTURF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:RENAE
Other - Last Name:PICADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1200 N MULDOON RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-6106
Mailing Address - Country:US
Mailing Address - Phone:907-257-5489
Mailing Address - Fax:907-257-4877
Practice Address - Street 1:1201 N MULDOON RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-6104
Practice Address - Country:US
Practice Address - Phone:907-257-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1208391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical