Timothy M Ericson in Newburyport - Clinical
Timothy M Ericson - NPI 1720006943
Timothy M Ericson is a Clinical in Newburyport, Massachusetts. Timothy M Ericson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy M Ericson is 1720006943. The last update date is 2011-09-21.
Timothy M Ericson's current location address is 95 Parker St, Newburyport, Massachusetts. You can contact this provider via phone number 2079854211. The mailing address for Timothy M Ericson is 95 Parker St, Newburyport, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy M Ericson |
|---|---|
| Address | 95 Parker St, Newburyport, Massachusetts |
| Phone Number | 2079854211 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW, LADC |
NPI Number Detail
| NPI Number | 1720006943 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2011-09-21 |
Provider Mailing Address Detail
| Address | 95 Parker St |
|---|---|
| City | Newburyport |
| State | Massachusetts (MA) |
| Post Code | 19504033 |
| Phone Number | 2079854211 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC2045 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7005 | ME | ANTHEM BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Timothy M Ericson by the Centers for Medicare & Medicaid Services?
The Timothy M Ericson has been assigned the NPI (National Provider Identifier) 1720006943 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Timothy M Ericson?
The Timothy M Ericson is physically situated at 95 Parker St, in the city of Newburyport, state of MA, with the postal code 19504033.
What is Timothy M Ericson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Timothy M Ericson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did Timothy M Ericson receive its 1720006943 assignment?
The Timothy M Ericson was assigned its 1720006943 on 2006-07-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Timothy M Ericson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Timothy M Ericson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-21.