Provider Demographics
NPI:1275207557
Name:DAUBERT, ERIN NICOLE (LCSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:NICOLE
Last Name:DAUBERT
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 1:9609 S. UNIVERSITY BLVD.
Mailing Address - Street 2:PO BOX 631430
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80163-9998
Mailing Address - Country:US
Mailing Address - Phone:720-341-2364
Mailing Address - Fax:
Practice Address - Street 1:11069 MEADOWVALE CIR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-6953
Practice Address - Country:US
Practice Address - Phone:720-341-2364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099275631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical