Active NPI
David A Errickson, LCSW, LCADC
- Clinical Social Worker
- Princeton, NJ
National Provider Identifier
1619141512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC04685700
- Practice address
- 194 N Harrison St Ste 2
Princeton, NJ 08540-3516 - Phone
- (908) 892-2217
- NPI assigned
- Apr 22, 2008
- Last updated
- May 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04685700 | NJ | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00089100 | NJ |
Addresses
Primary practice location
194 N Harrison St Ste 2
Princeton, NJ 08540-3516
Mailing address
1308 Route 31 N
Annandale, NJ 08801-3119
Phone (908) 892-2217
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00089100 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC04685700 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1619141512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 ROUTE 31 N",
"city": "ANNANDALE",
"state": "NJ",
"postal_code": "088013119",
"telephone_number": "908-892-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 N HARRISON ST STE 2",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403516",
"telephone_number": "908-892-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERRICKSON",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LCSW, LCADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-22",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04685700",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00089100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.