Provider Demographics
NPI:1306345889
Name:GROVER, ERIN (LCSW, TRS, CTRS, SEP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:GROVER
Suffix:
Gender:F
Credentials:LCSW, TRS, CTRS, SEP
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 891
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:UT
Mailing Address - Zip Code:84725-0891
Mailing Address - Country:US
Mailing Address - Phone:435-817-6116
Mailing Address - Fax:
Practice Address - Street 1:148 S 550 E
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:UT
Practice Address - Zip Code:84725-0891
Practice Address - Country:US
Practice Address - Phone:435-817-6116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-09
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6550522-35011041C0700X
AZLCSW-221961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical