| Doctor Name: | ERICK A STRUCK |
| NPI Number: | 1063790566 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW |
| License Number: | I-08242 |
| Business Practice Address: | 1331 Gusdorf Rd Taos, NM - 875716282 |
| Business Phone Number: | 5757583601 |
| Business Fax Number: | 5757581058 |
| Mailing Address: | 538 N Paseo De Onate, P.o. Box 158 ESPANOLA |
| State: | NM |
| Postal Code: | 875322618 |
| Phone Number: | 5057537218 |
| Fax Number: | 5057535815 |
| NPI Enumeration Date: | 08/01/2011 |
| NPI Last Update Date: | 07/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I-08242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |