Provider Demographics
NPI:1386153948
Name:PRIEST, ERICH FREYWALD (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:ERICH
Middle Name:FREYWALD
Last Name:PRIEST
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:MR
Other - First Name:ERICH
Other - Middle Name:CHRISTOPHER
Other - Last Name:FREYWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2944 BRAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-9215
Mailing Address - Country:US
Mailing Address - Phone:336-639-8976
Mailing Address - Fax:
Practice Address - Street 1:2944 BRAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-9215
Practice Address - Country:US
Practice Address - Phone:336-639-8976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-27
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0129011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical