Basic Information
| Provider Information | |||||||||
| NPI: | 1730291014 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ERWIN | ||||||||
| FirstName: | FRANCES | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2100 HEMMETER RD | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486033944 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897992100 | ||||||||
| FaxNumber: | 9897992637 | ||||||||
| Practice Location | |||||||||
| Address1: | 2100 HEMMETER RD | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486033944 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897992100 | ||||||||
| FaxNumber: | 9897992637 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 12/05/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 6801046794 | MI | Y | Behavioral Health & Social Service Providers | Social Worker |
ID Information
| ID | Type | State | Issuer | Description | 800G36205 | 01 | MI | BLUE CROSS BLUE SHIELD | OTHER | 0995591 | 01 | MI | HEALTH PLUS | OTHER | 730195 | 05 | MI | MEDICAID |