Provider Demographics
NPI:1467812412
Name:GOOD, ERIN (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:GOOD
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:PO BOX 10622
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59719-0622
Mailing Address - Country:US
Mailing Address - Phone:406-595-3698
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 10622
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59719-0622
Practice Address - Country:US
Practice Address - Phone:406-595-3698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-03
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX559721041C0700X
MTBBH-LCSW-LIC-623401041C0700X
ORL140851041C0700X
UT13600405-35011041C0700X
IDLCSW-372471041C0700X
WYLCSW-17251041C0700X
WALW612364391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical