Provider Demographics
NPI:1154875359
Name:HODGE, ERIN E (MSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:HODGE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 WHITE ROCK DR
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-9620
Mailing Address - Country:US
Mailing Address - Phone:304-512-9154
Mailing Address - Fax:
Practice Address - Street 1:97 GREAT TEAYS BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:SCOTT DEPOT
Practice Address - State:WV
Practice Address - Zip Code:25560-9815
Practice Address - Country:US
Practice Address - Phone:304-757-6999
Practice Address - Fax:304-757-3252
Is Sole Proprietor?:No
Enumeration Date:2016-08-05
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP00939218104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVDP00943564OtherLICENSE
DEQ1-0012609OtherLICENSE
NH5124OtherLICENSE
OHI.2506210OtherLICENSE
CT13476OtherLICENSE
MELC23884OtherLICENSE
KY259796OtherLICENSE