Philip R Erickson is a Clinical in Leesburg, Virginia. Philip R Erickson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Philip R Erickson is 1629186606. The last update date is 2007-09-07.
Philip R Erickson's current location address is 102 Heritage Way Ne, Leesburg, Virginia. You can contact this provider via phone number 7037715100 and fax number 7037770170. The mailing address for Philip R Erickson is 102 Heritage Way Ne, Leesburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip R Erickson |
|---|---|
| Address | 102 Heritage Way Ne, Leesburg, Virginia |
| Phone Number | 7037715100 |
| Fax Number | 7037770170 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1629186606 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 102 Heritage Way Ne |
|---|---|
| City | Leesburg |
| State | Virginia (VA) |
| Post Code | 201764544 |
| Phone Number | 7037715100 |
| Fax Number | 7037770170 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904003523 |
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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 |
|---|---|---|---|
| 107400 | VA | ANTHEM | |
| 107399 | VA | ANTHEM | |
| 295841 | VA | AMERIGROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Philip R Erickson by the Centers for Medicare & Medicaid Services?
The Philip R Erickson has been assigned the NPI (National Provider Identifier) 1629186606. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Philip R Erickson's physical address?
The Philip R Erickson is physically located at 102 Heritage Way Ne, in the city of Leesburg, VA, with the postal code 201764544.
What is Philip R Erickson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Philip R Erickson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629186606 to Philip R Erickson?
The Centers for Medicare & Medicaid Services assigned the 1629186606 to Philip R Erickson on 2006-08-29.
As of what date was the information regarding Philip R Erickson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Philip R Erickson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-07.