Individual provider Active NPI

Erick Wilson

  • Social Worker
  • Manalapan, NJ
National Provider Identifier
1376414128
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL07289600 Issued in NJ
Practice address
100 Craig Rd Ste 220
Manalapan, NJ 07726-8731
Phone
(732) 913-0033
NPI assigned
Sep 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL07289600 NJ Primary

Addresses

Primary practice location

100 Craig Rd Ste 220
Manalapan, NJ 07726-8731

Mailing address

410 Westminster Blvd
Parlin, NJ 08859-1326
Phone (862) 202-7041

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

State licenses

LicenseStateTypeSpecialty
44SL07289600NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenium Therapy and Wellness CurrentSince Sep 21, 2025 Accepting new patients
Premier Mental & Behavioral Services, Inc CurrentSince Sep 21, 2025 Accepting new patients

Locations

100 Craig Rd
Ste 220
Manalapan, NJ 07726
Phone (732) 693-3916

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": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1376414128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WESTMINSTER BLVD",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591326",
            "telephone_number": "862-202-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CRAIG RD STE 220",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268731",
            "telephone_number": "732-913-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07289600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.