Provider Demographics
NPI:1942853841
Name:STROSHINE, ERIC DEAN (SOCIAL WORKER)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:DEAN
Last Name:STROSHINE
Suffix:
Gender:M
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 INDEPENDENCE DR STE 7
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-1898
Mailing Address - Country:US
Mailing Address - Phone:508-470-8605
Mailing Address - Fax:508-217-1870
Practice Address - Street 1:411 ROUTE 6A UNIT E
Practice Address - Street 2:
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675-1843
Practice Address - Country:US
Practice Address - Phone:508-470-8605
Practice Address - Fax:508-217-1870
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA224861101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health