Gail Paula Ericson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-2009 Issued in AZ

Practice address

4119 E Cathedral Rock Dr
Phoenix, AZ 85044-3707

Phone

(480) 518-5550

Fax

(480) 361-5912

NPI assigned

Oct 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gail P Ericson, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1750509287
  NPD (past) Authorized official

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1407009616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 E. CATHEDRAL ROCK DR.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "480-518-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 E CATHEDRAL ROCK DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443707",
            "telephone_number": "480-518-5550",
            "fax_number": "480-361-5912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4119 E Cathedral Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850443707",
            "country_code": "US",
            "telephone_number": "480-518-5550",
            "fax_number": "480-361-5912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICSON",
        "first_name": "GAIL",
        "middle_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-2009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Erickson
• Shelly Marie Erickson, FNP
• Signe C Erickson, CCC-SLP
• Steven Maynard Erickson, M.D.
• Todd Michael Erickson, M.D.
• Mark Eric Ericson, LCSW
• Bethany Eriksen, MT-BC, NMT
• Aja Erikson, DNP
• Erised Counseling, LLC
• Veronica Natalie Erivez, FNP-C

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.