Provider Demographics
NPI:1740373265
Name:ERICKSON, JANET MARY (MSW LSW)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:MARY
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:MSW LSW
Other - Prefix:MISS
Other - First Name:JANET
Other - Middle Name:MARY
Other - Last Name:ROHDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:CATHOLIC FAMILY & CHILD SERVICE
Mailing Address - Street 2:5301 TIETON DRIVE SUITE C
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3478
Mailing Address - Country:US
Mailing Address - Phone:509-965-7100
Mailing Address - Fax:509-966-9750
Practice Address - Street 1:CATHOLIC FAMILY & CHILD SERVICE
Practice Address - Street 2:5301 TIETON DRIVE SUITE C
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3478
Practice Address - Country:US
Practice Address - Phone:509-965-7100
Practice Address - Fax:509-966-9750
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000056431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB37943Medicare PIN