Provider Demographics
NPI:1487905519
Name:SKALL, ERIN B (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:B
Last Name:SKALL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:CHOUINARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:125 JOHN ROBERTS RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-3295
Mailing Address - Country:US
Mailing Address - Phone:207-828-0048
Mailing Address - Fax:
Practice Address - Street 1:125 JOHN ROBERTS RD
Practice Address - Street 2:SUITE 12
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-3295
Practice Address - Country:US
Practice Address - Phone:207-828-0048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC149801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical