Provider Demographics
NPI:1629881610
Name:PRICE, ERIN (LICSW, LCSWC, LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:LICSW, LCSWC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8402 BURCHAP DR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20886-5628
Mailing Address - Country:US
Mailing Address - Phone:540-226-5753
Mailing Address - Fax:
Practice Address - Street 1:8402 BURCHAP DR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20886-5628
Practice Address - Country:US
Practice Address - Phone:540-226-5753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040128691041C0700X
DCLC500824031041C0700X
MD280311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical