Provider Demographics
NPI:1538536412
Name:STULLER, ERIN (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:STULLER
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:SHENANDOAH ONCOLOGY
Mailing Address - Street 2:400 CAMPUS BLVD SUITE 100
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3906
Mailing Address - Country:US
Mailing Address - Phone:540-662-1108
Mailing Address - Fax:540-450-2244
Practice Address - Street 1:400 CAMPUS BLVD.
Practice Address - Street 2:SUITE 100
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3906
Practice Address - Country:US
Practice Address - Phone:540-662-1108
Practice Address - Fax:540-450-2244
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040134141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical