Individual provider Active NPI

Stephanie Marie Erickson, LCSW

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1164909537
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW18886 Issued in AZ
Practice address
5400 S White Dr
Chandler, AZ 85249-5900
Phone
(480) 224-3806
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW18886 AZ Primary

Addresses

Primary practice location

5400 S White Dr
Chandler, AZ 85249-5900

Mailing address

4101 E Baseline Rd Apt 1321
Gilbert, AZ 85234-9118
Phone (480) 452-3882

Other practice location 1

3303 E Baseline Rd Ste 109
Gilbert, AZ 85234-2739
Phone (480) 900-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 4, 2026 through Jan 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW18886AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Help to Heal Counseling Services PLLC Clinical CurrentSince Mar 4, 2021 Accepting new patients
Chandler Unified School District Past Accepting new patients

Organizations & group practices 2

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1164909537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 E BASELINE RD APT 1321",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852349118",
            "telephone_number": "480-452-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S WHITE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495900",
            "telephone_number": "480-224-3806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3303 E Baseline Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342739",
            "country_code": "US",
            "telephone_number": "480-900-8765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW18886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.