- Practice location
- 62 Portland RD, Kennebunk, ME 04043-6658
- Phone
- 207-985-4211
- Fax
- —
- Last updated
- June 23, 2021
Tim Ericson, LLC is a healthcare organization based in Kennebunk, ME. Tim Ericson, LLC practices in Kennebunk, ME. The NPI Number for Tim Ericson, LLC is 1578132569. The current practice location address for Tim Ericson, LLC is 62 Portland RD, Kennebunk, ME 04043-6658 and can be reached out via phone at 207-985-4211.
Provider Profile Details
- NPI Number
- 1578132569
- Provider Name
- Tim Ericson, LLC
- Provider Entity Type
- Organization
- Address
- 62 Portland RD, Kennebunk, ME 04043-6658
- Phone Number
- 207-985-4211
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Timothy M. Ericson, MSW · Social Worker · 207-985-4211
- Provider Enumeration Date
- June 23, 2021
- Last Update Date
- June 23, 2021
- Certification Date
- June 23, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 62 Portland RD
Kennebunk, ME 04043-6658 - City
- Kennebunk
- State
- Maine
- Zip
- 04043-6658
- Phone Number
- 207-985-4211
Provider Business Mailing Address Details
- Address
- 62 Portland RD
Kennebunk, ME 04043-6658 - City
- Kennebunk
- State
- ME
- Zip
- 04043-6658
- Phone Number
- 207-985-4211
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Kennebunk, ME
View all Social Worker, Clinical providers in Kennebunk →- Aisha E Naimey, LCSWSocial Worker, Clinical · NPI 1215134606
- Alicyn F Romprey, LCSWSocial Worker, Clinical · NPI 1295348894
- Allison BurtSocial Worker, Clinical · NPI 1235067935
- Ashley L TillsonSocial Worker, Clinical · NPI 1760300461
- Carolyn C Curtis, LCSWSocial Worker, Clinical · NPI 1912915273
- Charlotte A BeaulieuSocial Worker, Clinical · NPI 1679483465
Frequently Asked Questions
What is the NPI number of Tim Ericson, LLC?
The NPI number of Tim Ericson, LLC is 1578132569. It was assigned on June 23, 2021 and is currently active in the NPPES registry.
What is the specialty of Tim Ericson, LLC?
Tim Ericson, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Tim Ericson, LLC practice?
The practice location is 62 Portland RD, Kennebunk, ME 04043-6658. The office can be reached at 207-985-4211 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578132569 directly on the NPPES registry website.