Individual provider Active NPI

Josiah Erickson, LCSW, LICSW

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1124740642
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWI.LW.70077575 Issued in WA
Practice address
1498 SE Tech Center PL Ste 300
Vancouver, WA 98683-5509
Phone
(360) 619-2226
Fax
(360) 326-9691
NPI assigned
Sep 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1124740642 OR
Clinical Social Worker 1041C0700X L17404 OR
Clinical Social Worker 1041C0700X SWI.LW.70077575 WA Primary

Addresses

Primary practice location

1498 SE Tech Center PL Ste 300
Vancouver, WA 98683-5509

Mailing address

1498 SE Tech Center PL Ste 300
Vancouver, WA 98683-5509
Phone (360) 619-2226

Other practice location 1

9 Monroe Pkwy Ste 270
Lake Oswego, OR 97035-8866
Phone (503) 675-2830 ext. 111

Other practice location 2

1336 NW Flanders St Ste 389
Portland, OR 97209-2645
Phone (971) 236-2048

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address locc@lakeoswegocounseling.com Direct
Direct Messaging Address admin@josiahericksoncounseling.com Direct Josiah Erickson Counseling LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260429002628 OR Practitioner - Clinical Social Worker 6800363680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linda C Estergard PHD LCSW PCGroup PAC ID 9436241759, 9 clinicians

Practice addresses (Care Compare)

9 Monroe Pkwy
Suite 270
Lake Oswego, OR 97035-8866
Phone (503) 675-2830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L17404ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Linda C Estergard, PHD, LCSW, PC CurrentSince Sep 20, 2022 Accepting new patients
Josiah Erickson Counseling LLC Mental Health Current Accepting new patients
Real Life Counseling PLLC Clinical PastSince Dec 15, 2024 Accepting new patients

Locations

9 Monroe Pkwy
Ste 270
Lake Oswego, OR 97035
Phone (503) 675-2830

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1124740642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835509",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835509",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Monroe Pkwy Ste 270",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970358866",
            "country_code": "US",
            "telephone_number": "503-675-2830 x111",
            "fax_number": "503-675-2852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1336 NW Flanders St Ste 389",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972092645",
            "country_code": "US",
            "telephone_number": "971-236-2048",
            "fax_number": "971-233-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JOSIAH",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "1124740642",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L17404",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.70077575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "locc@lakeoswegocounseling.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9 Monroe Pkwy Ste 270",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970358866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@josiahericksoncounseling.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Josiah Erickson Counseling LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1336 NW Flanders St Ste 389",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972092645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.