Provider Demographics
NPI:1992124507
Name:JOUDREY, ERIN (LCSW)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:JOUDREY
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 1:4 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:CT
Mailing Address - Zip Code:06248-1515
Mailing Address - Country:US
Mailing Address - Phone:860-460-0499
Mailing Address - Fax:
Practice Address - Street 1:4 MAIN ST
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:CT
Practice Address - Zip Code:06248-1515
Practice Address - Country:US
Practice Address - Phone:860-284-1177
Practice Address - Fax:860-284-1125
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0085541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical