Provider Demographics
NPI:1588064588
Name:AYERS, ERIN REILLY (LICSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:REILLY
Last Name:AYERS
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 WOODBURN RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-2729
Mailing Address - Country:US
Mailing Address - Phone:516-578-0620
Mailing Address - Fax:
Practice Address - Street 1:5701 BROAD BRANCH RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2541
Practice Address - Country:US
Practice Address - Phone:516-578-0620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD163481041C0700X
DCLC500801541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical