Provider Demographics
NPI:1932875648
Name:EICHWALD MS, MSW, EVE (ASSOCIATE MSW)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:
Last Name:EICHWALD MS, MSW
Suffix:
Gender:F
Credentials:ASSOCIATE MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1187 E SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95963-9136
Mailing Address - Country:US
Mailing Address - Phone:530-865-6459
Mailing Address - Fax:539-345-3845
Practice Address - Street 1:1187 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963-9136
Practice Address - Country:US
Practice Address - Phone:530-865-6459
Practice Address - Fax:530-865-6483
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-22
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1024681041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty