Erin Antenen, Licsw PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ERIN ANTENEN, LICSW PLLC

Practice address

1106 Harris Ave Ste 210
Bellingham, WA 98225-7001

Phone

(360) 920-6472

Fax

(360) 707-7437

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Erin Ann Clouthier Antenen, LICSWNPI 1598259889

Title

Psychotherapist

Phone

(360) 920-6472

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Ann Clouthier Antenen, LICSW

  • Clinical Social Worker
  • Bellingham, WA
  • NPI 1598259889
  NPD Authorized official

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1225678535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 HARRIS AVE STE 210",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257001",
            "telephone_number": "360-920-6472",
            "fax_number": "360-707-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 HARRIS AVE STE 210",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257001",
            "telephone_number": "360-920-6472",
            "fax_number": "360-707-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN ANTENEN, LICSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "ANTENEN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ANN CLOUTHIER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "360-920-6472",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105843",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Van Mieghem Nutrition Consulting, PLLC
• Rachel Erickson, PT, DPT
• Chelsea Ericson, PHARM D.
• Erik a. Papritz LMHC Inc.
• Erika Bronstein M S W P S
• Erin K Simpson DC PS
• Erin S Griffith PLLC
• Marta Shala Erlich, M.D.
• Ian Lee Erman
• Vanya Ernst

• Clinical Social Worker in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.