Provider Demographics
NPI:1750624516
Name:MCLOUD, ERIN (LICSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MCLOUD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:VASSEUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 WILDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-2133
Mailing Address - Country:US
Mailing Address - Phone:617-313-2939
Mailing Address - Fax:
Practice Address - Street 1:66TH MEDICAL SQUADRON
Practice Address - Street 2:90 VANDENBERG BLDG 1900
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:01731
Practice Address - Country:US
Practice Address - Phone:781-225-6264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-30
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1181111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical