Provider Demographics
NPI:1770187825
Name:SCHOLTEN, ERIN N (CLINICAL SOCIAL WORK)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:N
Last Name:SCHOLTEN
Suffix:
Gender:F
Credentials:CLINICAL SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 N FOREST CT
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-1103
Mailing Address - Country:US
Mailing Address - Phone:360-306-9004
Mailing Address - Fax:
Practice Address - Street 1:604 N FOREST CT
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-1103
Practice Address - Country:US
Practice Address - Phone:360-306-9004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC610838601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical