Provider Demographics
NPI:1982409991
Name:FOWLER, ERIN (LMSW)
Entity type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:
Last Name:FOWLER
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 IRVING PL
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-2315
Mailing Address - Country:US
Mailing Address - Phone:516-922-6867
Mailing Address - Fax:516-922-6277
Practice Address - Street 1:12 IRVING PL
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-2315
Practice Address - Country:US
Practice Address - Phone:516-922-6867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124955104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker