Healthcare Provider Details

I. General information

NPI: 1174106710
Provider Name (Legal Business Name): DAWN ELIZABETH KAY ERLICH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2021
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date: 05/23/2022
Reactivation Date: 07/28/2026

III. Provider practice location address

1129 COTTAGE AVE
VERMILLION SD
57069-3489
US

IV. Provider business mailing address

1129 COTTAGE AVE
VERMILLION SD
57069-3489
US

V. Phone/Fax

Practice location:
  • Phone: 954-224-6461
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7107
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09932443
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: