Provider Demographics
NPI:1649377219
Name:KLINKHAMMER, ERNA H (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ERNA
Middle Name:H
Last Name:KLINKHAMMER
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 1:2615 OLYMPUS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-4242
Mailing Address - Country:US
Mailing Address - Phone:832-643-1116
Mailing Address - Fax:281-492-6077
Practice Address - Street 1:2615 OLYMPUS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-4242
Practice Address - Country:US
Practice Address - Phone:832-643-1116
Practice Address - Fax:281-492-6077
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0020891041C0700X
TX196041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAS25019Medicare UPIN