Provider Demographics
NPI:1174940860
Name:HENRY, ERIN (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:HENRY
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 1:4225 S LOGAN ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-4728
Mailing Address - Country:US
Mailing Address - Phone:419-410-7842
Mailing Address - Fax:
Practice Address - Street 1:8370 W COAL MINE AVE
Practice Address - Street 2:STE 104
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-4400
Practice Address - Country:US
Practice Address - Phone:720-295-9787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009920205104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker