Provider Demographics
NPI:1891935680
Name:TROXELL, ERIN KATE (LSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:KATE
Last Name:TROXELL
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 GOSLING MARSH RD
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404-0164
Mailing Address - Country:US
Mailing Address - Phone:814-577-2527
Mailing Address - Fax:
Practice Address - Street 1:1410 GOSLING MARSH RD
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-0164
Practice Address - Country:US
Practice Address - Phone:814-577-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW126960104100000X
PACW0170881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker