Healthcare Provider Details

I. General information

NPI: 1407250228
Provider Name (Legal Business Name): ERICA L LINCH LICSW, SUDP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2014
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11610 NE 102ND CIR
VANCOUVER WA
98662-3513
US

IV. Provider business mailing address

11610 NE 102ND CIR
VANCOUVER WA
98662-3513
US

V. Phone/Fax

Practice location:
  • Phone: 360-207-1722
  • Fax:
Mailing address:
  • Phone: 360-936-0233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61273168
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLW61273168
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCSW.09932501
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCP60893889
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: