Individual provider Active NPI

David A Errickson, LCSW, LCADC

  • Clinical Social Worker
  • Princeton, NJ
National Provider Identifier
1619141512
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04685700 Issued in NJ
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
37LC00089100NJMDAddiction (Substance Use Disorder) Counselor
44SC04685700NJMDClinical 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.

Verify at the official NPI Registry.