Susan Erickson, MASTER SOCIAL WORKER

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ME474880 Issued in ME

Practice address

26 Hadley Lake Road
Machias, ME 04654-0088

Phone

(207) 255-8596

NPI assigned

Aug 27, 2009

Last updated

Aug 27, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1881827657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046540088",
            "telephone_number": "207-255-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HADLEY LAKE ROAD",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046540088",
            "telephone_number": "207-255-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "SUSAN",
        "credential": "MASTER SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "ME474880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Downeast Psychiatry Services LLC
• Dr. B Clinical Nutrition LLC
• Kara Dwight, DO
• Eastport Health Care, Inc.
• John A Edwards, PH.D.
• Wendy Jo Evans, M.S.S.W.
• Families United of Washington County
• Family First
• Barbara Lynn Fox, LCPC-C
• Robin Michele Gerry, LCSW-R

• Clinical Social Worker in Machias, ME
• Providers in Machias, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.