Provider Demographics
NPI:1306275185
Name:SCHLEICH, ERIC (LCSW)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:SCHLEICH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4697 48TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-2831
Mailing Address - Country:US
Mailing Address - Phone:727-642-3547
Mailing Address - Fax:
Practice Address - Street 1:710 94TH AVE N STE 305
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-2452
Practice Address - Country:US
Practice Address - Phone:727-642-3547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 87771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical