Healthcare Provider Details

I. General information

NPI: 1922575745
Provider Name (Legal Business Name): ERIN ELIZABETH DANIELS DSW, LICSW, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN ELIZABETH GOFORTH

II. Dates (important events)

Enumeration Date: 10/30/2018
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N MULLAN RD STE 200
SPOKANE VALLEY WA
99206-3793
US

IV. Provider business mailing address

200 N MULLAN RD STE 200
SPOKANE VALLEY WA
99206-3793
US

V. Phone/Fax

Practice location:
  • Phone: 503-508-8121
  • Fax:
Mailing address:
  • Phone: 509-955-5175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61231094
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: