1316362775 NPI number — MS. ERICA ENGELSMAN RAWLS LCSW

Table of content: MS. ERICA ENGELSMAN RAWLS LCSW (NPI 1316362775)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316362775 NPI number — MS. ERICA ENGELSMAN RAWLS LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAWLS
Provider First Name:
ERICA
Provider Middle Name:
ENGELSMAN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ENGELSMAN
Provider Other First Name:
ERICA
Provider Other Middle Name:
RENE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1316362775
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/17/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
205 LOGAN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ASHEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28806-4530
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-702-1818
Provider Business Mailing Address Fax Number:
815-320-0193

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
375 HENDERSONVILLE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28803-2749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-274-0570
Provider Business Practice Location Address Fax Number:
815-320-0193
Provider Enumeration Date:
02/21/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  C008751 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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