Provider Demographics
NPI:1801548607
Name:KIRCHGESSNER, ERIN (LCSW-A, LCASA, CCM)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:KIRCHGESSNER
Suffix:
Gender:F
Credentials:LCSW-A, LCASA, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 SHARON RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7927
Mailing Address - Country:US
Mailing Address - Phone:919-943-8015
Mailing Address - Fax:
Practice Address - Street 1:403 SHARON RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7927
Practice Address - Country:US
Practice Address - Phone:919-943-8015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-23
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0141821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical