Provider Demographics
NPI:1538570452
Name:MAGNUS, ERIN MAY NEAL (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:MAY NEAL
Last Name:MAGNUS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 YONKERS RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-2258
Mailing Address - Country:US
Mailing Address - Phone:919-724-4385
Mailing Address - Fax:919-838-8452
Practice Address - Street 1:2000 YONKERS RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-2258
Practice Address - Country:US
Practice Address - Phone:919-724-4385
Practice Address - Fax:919-838-8452
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-13
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0098211041C0700X
NCP0081791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical