Provider Demographics
NPI:1104267442
Name:DAIGLE, ERIN S (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:S
Last Name:DAIGLE
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 1:825 MAIN STREET
Mailing Address - Street 2:#3
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-2873
Mailing Address - Country:US
Mailing Address - Phone:207-370-0141
Mailing Address - Fax:207-352-5865
Practice Address - Street 1:825 MAIN STREET
Practice Address - Street 2:#3
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-2873
Practice Address - Country:US
Practice Address - Phone:207-370-0141
Practice Address - Fax:207-352-5865
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC154391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical