- Practice location
- 4 Dane St, Kennebunk, ME 04043-7054
- Phone
- 207-985-4211
- Fax
- —
- Last updated
- September 21, 2011
Timothy M Ericson is a Social Worker, Clinical based in Kennebunk, ME. Timothy M Ericson practices in Kennebunk, ME and has the professional credentials of LCSW, LADC. The NPI Number for Timothy M Ericson is 1720006943 and holds a License No. LC683 (ME). The current practice location address for Timothy M Ericson is 4 Dane St, Kennebunk, ME 04043-7054 and can be reached out via phone at 207-985-4211.
Provider Profile Details
- NPI Number
- 1720006943
- Provider Name
- Timothy M Ericson
- Credential
- LCSW, LADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4 Dane St, Kennebunk, ME 04043-7054
- Phone Number
- 207-985-4211
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 17, 2006
- Last Update Date
- September 21, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Dane St
Kennebunk, ME 04043-7054 - City
- Kennebunk
- State
- Maine
- Zip
- 04043-7054
- Phone Number
- 207-985-4211
Provider Business Mailing Address Details
- Address
- 95 Parker St
Newburyport, MA 01950-4033 - City
- Newburyport
- State
- MA
- Zip
- 01950-4033
- Phone Number
- 207-985-4211
License Information
- License Number (1)
- LC683
- License State (1)
- ME
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- LC2045
- License State (2)
- ME
- Taxonomy (2)
- 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 Timothy M Ericson, LCSW, LADC?
The NPI number of Timothy M Ericson, LCSW, LADC is 1720006943. It was assigned on July 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Timothy M Ericson, LCSW, LADC?
Timothy M Ericson, LCSW, LADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC683.
Where does Timothy M Ericson, LCSW, LADC practice?
The practice location is 4 Dane St, Kennebunk, ME 04043-7054. 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 1720006943 directly on the NPPES registry website.