Healthcare Provider Details

I. General information

NPI: 1497949572
Provider Name (Legal Business Name): BRENDA LYNN ERIKSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2007
Last Update Date: 04/29/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHARLES GEORGE VAMC 1100 TUNNEL RD
ASHEVILLE NC
28805
US

IV. Provider business mailing address

CHARLES GEORGE VAMC 1100 TUNNEL RD
ASHEVILLE NC
28805
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-7911
  • Fax:
Mailing address:
  • Phone: 828-298-7911
  • Fax: 828-299-5992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC005470
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: