Maren C Erickson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6681-123 Issued in WI

Practice address

565 Milwaukee Ave Ste 3C
Burlington, WI 53105-1254

Phone

(262) 757-0016

Fax

(262) 757-0018

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oshkosh, WI
  • NPI 1326858044
  NPD (past)
• Aurora Psychiatric Hospital, Inc.

  • Psychiatric Hospital
  • Wauwatosa, WI
  • NPI 1881627438
  NPD (past)
• Burlington Behavioral Health, LLC

  • Clinical Psychologist
  • Burlington, WI
  • NPI 1306079223
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1508971615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 MILWAUKEE AVE STE 3C",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051254",
            "telephone_number": "262-757-0016",
            "fax_number": "262-757-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 MILWAUKEE AVE STE 3C",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051254",
            "telephone_number": "262-757-0016",
            "fax_number": "262-757-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "MAREN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6681-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43579300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy P Ellingstad, PHD
• Abbey Elsbury, RN
• Dana L Emery, MD, PHD
• Lief W Erickson, MD
• Lisa K Erickson, LPC
• Karli C Eterno, DPT
• Anna Teresa Evans, LCPC, CADC
• Eye Physicians & Surgeons SC
• Eye Physicians and Surgeons SC
• Eye Physicians and Surgeons SC

• Clinical Social Worker in Burlington, WI
• Providers in Burlington, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.