Susan Erickson, MASTER SOCIAL WORKER
Individual provider Active NPI Clinical Social Worker · Machias, ME
NPI 1881827657 · NPPES record last updated Aug 27, 2009
Key facts
- NPI
- 1881827657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ME474880 (ME)
- Practice address
- 26 Hadley Lake Road
Machias, ME 04654-0088 - Phone
- (207) 255-8596
- NPI assigned
- Aug 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME474880 | ME | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ME474880 | ME | Yes |
Addresses
Primary practice location
26 Hadley Lake Road
Machias, ME 04654-0088
Mailing address
PO Box 88
Machias, ME 04654-0088
Phone (207) 255-8596
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115490001 | Medicaid | ME |
Other providers in Machias, ME
- Downeast Psychiatry Services LLC
- Dr. B Clinical Nutrition LLC
- Kara Dwight
- Eastport Health Care, Inc.
- John A Edwards
- Wendy Jo Evans
- Families United of Washington County
- Family First
- Barbara Lynn Fox
- Robin Michele Gerry
All providers in Machias, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.