Erin Ann Clouthier Antenen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60841888 Issued in WA

Practice address

1106 Harris Ave Ste 210
Bellingham, WA 98225-7001

Phone

(360) 920-6472

NPI assigned

Jun 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Erin Ann Clouthier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Erin Antenen, Licsw PLLC

  • Clinical Social Worker
  • Bellingham, WA
  • NPI 1225678535
  NPD Authorized official

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1598259889",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTENEN",
        "first_name": "ERIN",
        "middle_name": "ANN CLOUTHIER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60841888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105843",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CLOUTHIER",
            "middle_name": "ANN",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Jayne Anker
• Ankle and Foot Specialists of Washington, Inc
• Ann Kiesau MD PLLC
• Anna E Vail Pmhnp, Inc.
• Charles Phillip Anstett, ARNP
• Kelly Notter Antes, RN
• Anthony S Karuza DPM PS Inc
• Anthony S Karuza DPM PS Inc
• Anthony S Karuza, DPM PS Inc
• Samra Lee Antons, RNFA

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.