Provider Demographics
NPI:1922183623
Name:SCHLOCKER, ERIK MATTHEW (MSW, LICSW)
Entity Type:Individual
Prefix:MR
First Name:ERIK
Middle Name:MATTHEW
Last Name:SCHLOCKER
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:M/S CB
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:425-454-9003
Mailing Address - Fax:425-637-5945
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:M/S W-3638
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-2000
Practice Address - Fax:206-987-4057
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000078231041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical