Mr. Robert H Ericson Jr.
Social Worker, Clinical in S Chatham, Massachusetts
1710033543- Practice location
- 2642 Main St, S Chatham, MA 02659
- Phone
- 508-430-8230
- 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 - City
- S Chatham
- State
- Massachusetts
- Zip
- 02659
- Phone Number
- 508-430-8230
- Fax Number
- 508-430-8230
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near S Chatham, MA
View all Social Worker, Clinical providers in S Chatham →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.