Provider Demographics
NPI:1497487201
Name:ROEPCKE, ERIN FAYE (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:FAYE
Last Name:ROEPCKE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3444 N EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-2500
Mailing Address - Country:US
Mailing Address - Phone:520-222-9344
Mailing Address - Fax:
Practice Address - Street 1:6632 E CARONDELET DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2119
Practice Address - Country:US
Practice Address - Phone:520-222-9344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-22217104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLMSW-20311OtherAZ BOARD OF BEHAVIORAL HEALTH
AZLCSW-22217OtherARIZONA BOARD OF BEHAVIORAL HEALTH