Provider Demographics
NPI:1699865477
Name:ERSKINE, CHRISTOPHER (MSW,LISCW)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:ERSKINE
Suffix:
Gender:M
Credentials:MSW,LISCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 W HILL RD
Mailing Address - Street 2:
Mailing Address - City:CRAFTSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05826-9551
Mailing Address - Country:US
Mailing Address - Phone:802-586-9932
Mailing Address - Fax:
Practice Address - Street 1:2 LOWER MAIN ST. WEST
Practice Address - Street 2:
Practice Address - City:JOHNSON
Practice Address - State:VT
Practice Address - Zip Code:05656
Practice Address - Country:US
Practice Address - Phone:802-635-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-00005361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT00029523OtherBCBS
VT1009565Medicaid
VT2154137OtherCIGNA
VT39496OtherMVP
VTVN1470Medicare ID - Type Unspecified