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Provider Information for 1568055838


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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Ms. HOLLY J ERSKINE LCSW


Sex: Female

NPI: 1568055838
Last Updated: 2024-01-11
Certification Date: 2024-01-11

Details

NameValue
NPI1568055838
Enumeration Date2021-02-17
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address N421 EAST RD
WAUPACA, WI 54981-6817
United States

Phone: 715-412-0399 | Fax:
 
Primary Practice Address N421 EAST RD
WAUPACA, WI 54981-6817
United States

Phone: 715-412-0399 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalWI7924-123
Yes 104100000X - Social Worker WI7924-123