Kasey Erickson, LICSW
Individual provider Active NPI Clinical Social Worker · Greenfield, MA
NPI 1053901421 · NPPES record last updated Jan 20, 2021
Key facts
- NPI
- 1053901421
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 123045 (MA)
- Practice address
- 22 Abbott St
Greenfield, MA 01301-2510 - Phone
- (201) 220-5600
- NPI assigned
- Jan 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center of Franklin County Incorporated
Practice addresses (Care Compare)
102 Main St
Greenfield, MA 01301-3224
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220616002801 | MA | Practitioner - Clinical Social Worker | 0345629689 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123045 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Franklin County Incorporated | Current |
Accepting new patients | |
| Community Health Center of Franklin County Incorporated | Current | Accepting new patients | |
| Community Health Center of Franklin County Incorporated | Current |
Accepting new patients |
Locations
102 Main St
Greenfield, MA 01301
Phone (413) 325-8500
119 New Athol Rd
Orange, MA 01364
Phone (978) 249-9033
8 Burnham St
Turners Falls, MA 01376
Phone (413) 774-3751
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 123045 | MA | Yes |
Addresses
Primary practice location
22 Abbott St
Greenfield, MA 01301-2510
Mailing address
22 Abbott St
Greenfield, MA 01301-2510
Phone (201) 220-5600
NPI Registry JSON
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1053901421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ABBOTT ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012510",
"telephone_number": "201-220-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ABBOTT ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012510",
"telephone_number": "201-220-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "KASEY",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "123045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, MA
- Sarah Emslie
- April Engley
- Cathy English
- Bryan Eppich
- Nicole Susan Erhardt
- Leslie A Evans
- Eye Center Optical, Inc.
- Stephen P Ezequelle
- Suzanne Marie Faken
- Hal Fales
All providers in Greenfield, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.