Healthcare Provider Details

I. General information

NPI: 1952876476
Provider Name (Legal Business Name): ERIK MICHAEL STENGLEIN MSW, LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2018
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

569 MAIN ST STE 224
WARREN RI
02885-4419
US

IV. Provider business mailing address

21 CAVALCADE BLVD
JOHNSTON RI
02919-3445
US

V. Phone/Fax

Practice location:
  • Phone: 414-745-9905
  • Fax: 940-433-2144
Mailing address:
  • Phone: 414-745-9905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW03890
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: