Provider Demographics
NPI:1649308677
Name:SALYER, ERIN MICHELLE (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MICHELLE
Last Name:SALYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 N HIGHBROOK WAY STE 200 PO BOX 316
Mailing Address - Street 2:
Mailing Address - City:STAR
Mailing Address - State:ID
Mailing Address - Zip Code:83669-0316
Mailing Address - Country:US
Mailing Address - Phone:208-254-0474
Mailing Address - Fax:208-606-3723
Practice Address - Street 1:7861 WILLOW CREEK DR
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:ID
Practice Address - Zip Code:83644-5340
Practice Address - Country:US
Practice Address - Phone:208-254-0474
Practice Address - Fax:208-606-3723
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA715461041C0700X
ID398851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1457993230OtherMORGAN MENTAL HEALTH