Healthcare Provider Details

I. General information

NPI: 1689539272
Provider Name (Legal Business Name): ERIN CHRISTINE DILLMAN LSCW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 FOREST PARK DR STE 2-2LM
FARMINGTON CT
06032-1445
US

IV. Provider business mailing address

2 FOREST PARK DR STE 2-2LM
FARMINGTON CT
06032-1445
US

V. Phone/Fax

Practice location:
  • Phone: 860-383-7090
  • Fax: 860-968-8667
Mailing address:
  • Phone: 860-383-7090
  • Fax: 860-968-8667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14214
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: