Provider Demographics
NPI:1295928554
Name:STILLWELL, ERIN PATRICIA (MSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:PATRICIA
Last Name:STILLWELL
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2907 OLNEY SANDY SPRING RD STE A
Mailing Address - Street 2:SUITE A
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-3510
Mailing Address - Country:US
Mailing Address - Phone:301-996-9564
Mailing Address - Fax:
Practice Address - Street 1:2907 OLNEY SANDY SPRING RD STE A
Practice Address - Street 2:SUITE A
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-3510
Practice Address - Country:US
Practice Address - Phone:301-996-9564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD130651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical