Active NPI
Christina Olivia Demello Erickson, MSW, LCSW
- Social Worker
- Brighton, MA
National Provider Identifier
1083438964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 228685
- Practice address
- 77 Claymoss Rd
Brighton, MA 02135-4206 - Phone
- (401) 464-1320
- NPI assigned
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 228685 | MA | Primary |
Addresses
Primary practice location
77 Claymoss Rd
Brighton, MA 02135-4206
Mailing address
77 Claymoss Rd
Brighton, MA 02135-4206
Phone (401) 464-1320
Other practice location 1
115 Mill St
Belmont, MA 02478-1048
Phone (617) 855-2702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1083438964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 CLAYMOSS RD",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021354206",
"telephone_number": "401-464-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 CLAYMOSS RD",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021354206",
"telephone_number": "401-464-1320"
}
],
"practiceLocations": [
{
"address_1": "115 Mill St",
"address_purpose": "LOCATION",
"city": "Belmont",
"state": "MA",
"postal_code": "024781048",
"country_code": "US",
"telephone_number": "617-855-2702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERICKSON",
"first_name": "CHRISTINA",
"middle_name": "OLIVIA DEMELLO",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "228685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.