Gail P Ericson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-2009 Issued in AZ

Legal business name

GAIL P ERICSON, LCSW

Practice address

11022 S 51St St
Suite 100
Phoenix, AZ 85044-4308

Phone

(480) 753-1211

Fax

(480) 753-0060

NPI assigned

Apr 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Gail Paula Ericson, LCSWNPI 1407009616

Title

President

Phone

(480) 753-1211

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gail Paula Ericson, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1407009616
  NPD (past) Authorized official
• David Michael Boarman, MSC LPC LISAC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1144355041
  NPD (past)
• Roslyn Klein, PH.D.

  • Counseling Psychologist
  • Phoenix, AZ
  • NPI 1497972004
  NPD (past)

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1750509287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 E CATHEDRAL ROCK DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443707",
            "telephone_number": "480-518-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 S 51ST ST",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444308",
            "telephone_number": "480-753-1211",
            "fax_number": "480-753-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL P ERICSON, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "ERICSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-753-1211",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-2009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Gagnon
• Marie Lemay Gagnon, RN
• Adriana Gaidici, M.D.
• Florin Gaidici, M.D.
• Aaron Gaie
• Cindy Gailey
• Whisper Gailey
• Makenzie Ryan Gaillard, PA
• Dean L Gain, M.D.
• Shirley Gaines-Robinson

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.