Provider Demographics
NPI:1356726517
Name:MYERS, ERIN E (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:E
Last Name:MYERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4061 CREEK RD
Mailing Address - Street 2:PEC
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14174-9609
Mailing Address - Country:US
Mailing Address - Phone:716-286-7220
Mailing Address - Fax:
Practice Address - Street 1:4061 CREEK RD
Practice Address - Street 2:PEC
Practice Address - City:YOUNGSTOWN
Practice Address - State:NY
Practice Address - Zip Code:14174-9609
Practice Address - Country:US
Practice Address - Phone:716-286-7220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077376-11041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool