Doctor Name: | ERICA ROSEN-MCGINNIS |
NPI Number: | 1396153417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 2012031015 |
Business Practice Address: | 2638 Highway 109 Suite 102 Wildwood, MO - 630401182 |
Business Phone Number: | 3143383387 |
Business Fax Number: | |
Mailing Address: | 1976 Still Creek Pass, WILDWOOD |
State: | MO |
Postal Code: | 630114815 |
Phone Number: | 5614450086 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2014 |
NPI Last Update Date: | 08/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2012031015 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |