Susan M Ericson, LCSW
Social Worker, Clinical in Waterbury, Connecticut
1700112174- Practice location
- 64 Robbins St, Waterbury Hospital - Crisis Center, Waterbury, CT 06721
- Phone
- 203-573-6103
- Fax
- 203-573-7240
- Last updated
- October 20, 2009
Susan M Ericson is a Social Worker, Clinical based in Waterbury, CT. Susan M Ericson practices in Waterbury, CT and has the professional credentials of LCSW. The NPI Number for Susan M Ericson is 1700112174 and holds a License No. 007107 (CT). The current practice location address for Susan M Ericson is 64 Robbins St, Waterbury Hospital - Crisis Center, Waterbury, CT 06721 and can be reached out via phone at 203-573-6103 and via fax at 203-573-7240.
Provider Profile Details
- NPI Number
- 1700112174
- Provider Name
- Susan M Ericson
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 64 Robbins St, Waterbury Hospital - Crisis Center, Waterbury, CT 06721
- Phone Number
- 203-573-6103
- Fax Number
- 203-573-7240
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 20, 2009
- Last Update Date
- October 20, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 64 Robbins St
Waterbury Hospital - Crisis Center
Waterbury, CT 06721 - City
- Waterbury
- State
- Connecticut
- Zip
- 06721
- Phone Number
- 203-573-6103
- Fax Number
- 203-573-7240
Provider Business Mailing Address Details
- Address
- 64 Robbins St
Waterbury Hospital - Crisis Center
Waterbury, CT 06721 - City
- Waterbury
- State
- CT
- Zip
- 06721
- Phone Number
- 203-573-6103
- Fax Number
- 203-573-7240
License Information
- License Number
- 007107
- License State
- CT
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Susan M Ericson, LCSW?
The NPI number of Susan M Ericson, LCSW is 1700112174. It was assigned on October 20, 2009 and is currently active in the NPPES registry.
What is the specialty of Susan M Ericson, LCSW?
Susan M Ericson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 007107.
Where does Susan M Ericson, LCSW practice?
The practice location is 64 Robbins St, Waterbury Hospital - Crisis Center, Waterbury, CT 06721. The office can be reached at 203-573-6103 (phone) or 203-573-7240 (fax).
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 1700112174 directly on the NPPES registry website.