Active NPI
Erick John Panike, LCSW
- Social Worker
- San Francisco, CA
National Provider Identifier
1639684566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 128194
- Practice address
- 1380 Howard St
San Francisco, CA 94103-2638 - Phone
- (415) 554-2500
- NPI assigned
- Dec 14, 2017
- Last updated
- May 1, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 128194 | CA | Primary |
| Clinical Social Worker | 1041C0700X | 9334223-3501 | UT |
Addresses
Primary practice location
1380 Howard St
San Francisco, CA 94103-2638
Mailing address
1380 Howard St
San Francisco, CA 94103-2638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14376067 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9334223-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juniper Healing PLLC | Clinical | Current | Accepting new patients |
| Trauma Solutions Counseling, PLLC | Clinical | Current | Accepting new patients |
Locations
1174 E Graystone Way
Ste 3
Salt Lake City, UT 84106
Phone (385) 200-0786
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Trauma Solutions Counseling
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1669068771
-
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1134826860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1639684566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 HOWARD ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 HOWARD ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032638",
"telephone_number": "415-554-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANIKE",
"first_name": "ERICK",
"middle_name": "JOHN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-14",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "128194",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "9334223-3501",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14376067",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.