Healthcare Provider Details

I. General information

NPI: 1770369100
Provider Name (Legal Business Name): ERIN ALEXIS LAUTEN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN ALEXIS LAMBERTH

II. Dates (important events)

Enumeration Date: 09/01/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEETING HOUSE RD
CHELMSFORD MA
01824-2733
US

IV. Provider business mailing address

1 MEETING HOUSE RD STE 1
CHELMSFORD MA
01824-2734
US

V. Phone/Fax

Practice location:
  • Phone: 978-303-8902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1143883
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: