Provider Demographics
NPI:1801587118
Name:SPIELMAN, ERIN THAYER (LMSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:THAYER
Last Name:SPIELMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:THAYER
Other - Last Name:LACEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:8721 W LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-4138
Mailing Address - Country:US
Mailing Address - Phone:602-686-7898
Mailing Address - Fax:
Practice Address - Street 1:8600 E VIA DE VENTURA STE 202
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3325
Practice Address - Country:US
Practice Address - Phone:602-686-7898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-125611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical