Provider Demographics
NPI:1932345352
Name:THOMPSON, ERIN M (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:M
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-1007
Mailing Address - Country:US
Mailing Address - Phone:585-760-4981
Mailing Address - Fax:585-262-3325
Practice Address - Street 1:1415 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-1007
Practice Address - Country:US
Practice Address - Phone:585-760-4981
Practice Address - Fax:585-262-3325
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072895-1104100000X
NY078844101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker