Black, Erin L
Black, Erin L is an sole proprietor health care provider with primary practice located at 426 14Th St Ste 119 , Modesto CA 95354-2661. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Black, Erin L can be contacted via phone (209) 222-8515.Contact Information
Primary practice address
426 14Th St Ste 119
Modesto CA 95354-2661
Phone: (209) 222-8515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCSW69762 | California |
Profile Details
| NPI number | 1700156007 |
|---|---|
| LBN Legal business name | Black, Erin L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2012 |
| Last updated | Feb 24th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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