Active NPI
Gregory Erickson, LCSW
- Social Worker
- Chicago, IL
National Provider Identifier
1285143214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2017030894
- Practice address
- 1416 W Belmont Ave
Chicago, IL 60657-0939 - Phone
- (773) 799-8966
- NPI assigned
- Sep 21, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 2017030894 | MO | Primary |
Addresses
Primary practice location
1416 W Belmont Ave
Chicago, IL 60657-0939
Mailing address
402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Phone (573) 334-1100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017030894 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Erickson, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Jackson, MO
- NPI 1184302903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632009600000",
"number": "1285143214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S SILVER SPRINGS RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637037536",
"telephone_number": "573-334-1100",
"fax_number": "573-651-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606570939",
"telephone_number": "773-799-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "GREGORY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-21",
"last_updated": "2021-09-19",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2017030894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.