Provider Demographics
NPI:1588986350
Name:CARPENTER, ERIN L (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:CARPENTER
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 1:5377 MANHATTAN CIR STE 201
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-4345
Mailing Address - Country:US
Mailing Address - Phone:720-295-7801
Mailing Address - Fax:
Practice Address - Street 1:5377 MANHATTAN CIR STE 201
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-4345
Practice Address - Country:US
Practice Address - Phone:720-295-7801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW18961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical