Provider Demographics
NPI:1942360219
Name:ERQUIAGA, LOIS M (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:M
Last Name:ERQUIAGA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 26TH ST.
Mailing Address - Street 2:
Mailing Address - City:BATTLE MOUNTAIN
Mailing Address - State:NV
Mailing Address - Zip Code:89820-3309
Mailing Address - Country:US
Mailing Address - Phone:775-374-0947
Mailing Address - Fax:775-635-9203
Practice Address - Street 1:150 PARTNER ST.
Practice Address - Street 2:
Practice Address - City:BATTLE MOUNTAIN
Practice Address - State:NV
Practice Address - Zip Code:89820-1930
Practice Address - Country:US
Practice Address - Phone:775-374-0947
Practice Address - Fax:775-623-3282
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVIC-481104100000X
NV5482-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker