Active NPIIndividual provider

Mr. Robert H Ericson Jr.

Social Worker, Clinical in S Chatham, Massachusetts

NPI Number1710033543
Practice location
2642 Main St, S Chatham, MA 02659
Fax
508-430-8230
Last updated
July 8, 2007

Robert Henry Ericson is a Social Worker, Clinical based in S Chatham, MA. Robert Henry Ericson practices in S Chatham, MA. The NPI Number for Robert Henry Ericson is 1710033543 and holds a License No. 1016687 (MA). The current practice location address for Robert Henry Ericson is 2642 Main St, S Chatham, MA 02659 and can be reached out via phone at 508-430-8230 and via fax at 508-430-8230.

Provider Profile Details

NPI Number
1710033543
Provider Name
Robert Henry Ericson
Provider Entity Type
Individual
Gender
Male
Address
2642 Main St, S Chatham, MA 02659
Phone Number
508-430-8230
Fax Number
508-430-8230
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2642 Main St
S Chatham, MA 02659
Zip
02659
Phone Number
508-430-8230
Fax Number
508-430-8230
S Chatham, MA 02659Get directions →

Provider Business Mailing Address Details

Address
2642 Main St
S Chatham, MA 02659
City
S Chatham
State
MA
Zip
02659
Phone Number
508-430-8230
Fax Number
508-430-8230

License Information

License Number
1016687
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mr. Robert H Ericson Jr.?

The NPI number of Mr. Robert H Ericson Jr. is 1710033543. It was assigned on January 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Robert H Ericson Jr.?

Mr. Robert H Ericson Jr. is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1016687.

Where does Mr. Robert H Ericson Jr. practice?

The practice location is 2642 Main St, S Chatham, MA 02659. The office can be reached at 508-430-8230 (phone) or 508-430-8230 (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 1710033543 directly on the NPPES registry website.

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