Healthcare Provider Details

I. General information

NPI: 1003139650
Provider Name (Legal Business Name): ERIN ERIN EMILY CABEZAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3021 CITRUS CIR STE 240
WALNUT CREEK CA
94598-2691
US

IV. Provider business mailing address

1312 KANSAS CIR
CONCORD CA
94521-4615
US

V. Phone/Fax

Practice location:
  • Phone: 925-391-0777
  • Fax:
Mailing address:
  • Phone: 925-391-0777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number73764
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: