Healthcare Provider Details

I. General information

NPI: 1952884009
Provider Name (Legal Business Name): ERIN KATHLEEN NEAL KOESKE LISW-CP, LCSW, RDT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN KATHLEEN NEAL LSW

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 KING ST
COLUMBIA SC
29205-2313
US

IV. Provider business mailing address

600 KING ST
COLUMBIA SC
29205-2313
US

V. Phone/Fax

Practice location:
  • Phone: 803-256-1033
  • Fax: 803-251-0330
Mailing address:
  • Phone: 803-256-1033
  • Fax: 803-251-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number17804
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.021813
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number972
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: