Healthcare Provider Details

I. General information

NPI: 1770663700
Provider Name (Legal Business Name): ERIN ELIZABETH BARBUS MSW, LMSW, ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN ELIZABETH BARBUS MSW

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 05/21/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2198 US 31 S
MANISTEE MI
49660-9618
US

IV. Provider business mailing address

2198 US 31 S
MANISTEE MI
49660-9618
US

V. Phone/Fax

Practice location:
  • Phone: 312-655-3146
  • Fax: 989-539-2143
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801084104
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: