David Erlich, LCSW & LISAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12071 Issued in AZ

Practice address

413 E Florence Blvd
Casa Grande, AZ 85122-4112

Phone

(520) 876-5764

Fax

(520) 876-5613

NPI assigned

Oct 22, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1154573053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224112",
            "telephone_number": "520-876-5764",
            "fax_number": "520-876-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224112",
            "telephone_number": "520-876-5764",
            "fax_number": "520-876-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLICH",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LCSW & LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "11736",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "12071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Emmett Bishop, PHD
• Empowerment Pathways Psychiatry
• Enticare PC
• Annesa Rae Erdman, FNP
• Thomas L Erickson, MD
• Laurie B Escalante, R.N.
• Sonya Escalante, LCSW
• Ali Mohamad Eskandar, MBBCH
• Katie Espinoza, LMSW
• Essential Health Oasis PLLC

• Clinical Social Worker in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.