Susan M Ericson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007107 Issued in CT

Practice address

64 Robbins St
Waterbury Hospital - Crisis Center
Waterbury, CT 06721

Phone

(203) 573-6103

Fax

(203) 573-7240

NPI assigned

Oct 20, 2009

Sex

Female

Sole proprietor

Yes

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

Enrolled in CT

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Health Center for Counseling and Learning LLCGroup PAC ID 8729313135, 27 clinicians

Practice addresses (Care Compare)

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.

• Behavioral Health Center for Counseling & Learning, LLC

  • Professional Counselor
  • Middlebury, CT
  • NPI 1578788766
  Medicare reassignment Care Compare group NPD
• Compassionate Care Counseling LLC

  • Professional Counselor
  • Middlebury, CT
  • NPI 1932757515
  NPD

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1700112174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "address_2": "WATERBURY HOSPITAL - CRISIS CENTER",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06721",
            "telephone_number": "203-573-6103",
            "fax_number": "203-573-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "address_2": "WATERBURY HOSPITAL - CRISIS CENTER",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06721",
            "telephone_number": "203-573-6103",
            "fax_number": "203-573-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICSON",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Andrea Emmerson, LCSW
• Empowering Hope, LLC
• Endodontic Associates of Greater Waterbury, PC
• Dawn Engelhard
• Terrell Epps
• Lance R Eriksen, MD
• Sarah Erlingheuser, PHARMD
• Melody Marie Erskine
• Hamza Ertugrul, MD
• Aylin Escolastico

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.