Jody A. Erickson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8110 Issued in FL

Practice address

1818 Aaron Dr
Tallahassee, FL 32303-3406

Phone

(863) 441-2640

NPI assigned

Aug 30, 2007

Last updated

Dec 9, 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1891989034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37094",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323157094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 AARON DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033406",
            "telephone_number": "863-441-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JODY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8110",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323056702",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sienna R Epstein
• Alexander Antonio Erbella, MD
• Lesly Elizabeth Erdmann, MSW
• Eric Nicholson, MD, PA
• Erica Miller Counseling Group LLC
• Erika Cooley, LCSW, LLC
• Erin a Shiveler, DMD PLLC
• Erin M Neal OD, PA
• Kamya Monae Ervin, RBT
• Vicari Susan Erwin-Wilson, M.D.

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.