Provider Demographics
NPI:1942340914
Name:CASE, ERIN COLLEEN (LCSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:COLLEEN
Last Name:CASE
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 1:5265 PROVIDENCE RD
Mailing Address - Street 2:SUITE 501
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4206
Mailing Address - Country:US
Mailing Address - Phone:757-467-9500
Mailing Address - Fax:
Practice Address - Street 1:5265 PROVIDENCE RD
Practice Address - Street 2:SUITE 501
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-4206
Practice Address - Country:US
Practice Address - Phone:757-467-9500
Practice Address - Fax:757-467-9560
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18421101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health