Doctor Name: | ERIN ERNESTINE FORSMAN |
NPI Number: | 1083894927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W., LICSW |
License Number: | 17474 |
Business Practice Address: | 1280 N Birch Lake Blvd White Bear Lake, MN - 551106708 |
Business Phone Number: | 6514298544 |
Business Fax Number: | 6514075301 |
Mailing Address: | 1280 N Birch Lake Blvd, WHITE BEAR LAKE |
State: | MN |
Postal Code: | 551106708 |
Phone Number: | 6514298544 |
Fax Number: | 6514075301 |
NPI Enumeration Date: | 11/08/2007 |
NPI Last Update Date: | 11/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 17474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |