Eric Geovanni Erickson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072455 Issued in NY

Practice address

1011 Washington Ave
Bronx, NY 10456-6619

Phone

(718) 585-4205

Fax

(718) 585-4307

NPI assigned

Mar 31, 2008

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inwood Community Services, Inc.

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1083771232
  NPD
• Fedcap Rehabilitation Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Bronx, NY
  • NPI 1730415399
  NPD (past)
• Resilience Psychotherapy LCSW PC

  • Clinical Social Worker
  • New York, NY
  • NPI 1003459694
  NPD (past)
• The Mental Health Association of Westchester County - Social Care Network

  • Case Manager/Care Coordinator
  • Tarrytown, NY
  • NPI 1760320659
  NPD (past)
• Marvin Behavioral Health Ma PC

  • Psychologist
  • Boston, MA
  • NPI 1740860428

  Clinical

  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1578735528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 WASHINGTON AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "718-585-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 WASHINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566619",
            "telephone_number": "718-585-4205",
            "fax_number": "718-585-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "ERIC",
        "middle_name": "GEOVANNI",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarek Erfan
• Mohamad Erfani, M.D.
• Heather A Erhard, MD
• Efosa Erhunmwunse, PT, DPT
• Kelly Linda Erickson-Jorge, LMSW
• Evelyn Nathalie Erickson, MD
• Jessica Erickson
• Marissa Erickson, DDS
• Katherine Ericson, MD
• Anette Eriksson, LMSW

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.