Provider Demographics
NPI:1447662770
Name:ANDRADE, ERIN ELIZABETH (LICSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ELIZABETH
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ELIZABETH
Other - Last Name:O'SHEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:151 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CUMMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01026-9501
Mailing Address - Country:US
Mailing Address - Phone:413-634-3600
Mailing Address - Fax:413-634-5300
Practice Address - Street 1:151 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CUMMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01026-9501
Practice Address - Country:US
Practice Address - Phone:413-634-3600
Practice Address - Fax:413-634-5300
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor