Provider Demographics
NPI:1679051817
Name:OWENS, ERIN JANE (APSW)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:JANE
Last Name:OWENS
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:JANE
Other - Last Name:OWENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APSW
Mailing Address - Street 1:120 S BARSTOW ST
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-3642
Mailing Address - Country:US
Mailing Address - Phone:715-214-8437
Mailing Address - Fax:715-838-8423
Practice Address - Street 1:120 S BARSTOW ST
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-3642
Practice Address - Country:US
Practice Address - Phone:715-214-8437
Practice Address - Fax:715-838-8423
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1747-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical