MEDICARE: ERIN CHRISTINA EGAN LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	6801085715	MI
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	1041C0700X	Clinical Social Worker
4	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1023222023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN CHRISTINA EGAN LMSW

Provider Business Mailing Address
First Line	:	5401 N DEARING RD
Second Line	:
City	:	PARMA
State	:	MI
Zip	:	49269-9779
Country	:	US
Telephone Number	:	517-206-6065
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 N DEARING RD
Second Line	:
City	:	PARMA
State	:	MI
Zip	:	49269-9779
Country	:	US
Telephone Number	:	517-206-6065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	01/15/2026

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