Provider Demographics
NPI:1154869402
Name:KEMP, ERIN GREEN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:GREEN
Last Name:KEMP
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:PO BOX 2162
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775-2006
Mailing Address - Country:US
Mailing Address - Phone:626-808-2776
Mailing Address - Fax:
Practice Address - Street 1:5687 COMMERCE ST.
Practice Address - Street 2:# 7
Practice Address - City:ST. FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775-4413
Practice Address - Country:US
Practice Address - Phone:626-808-2776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA116181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical