Individual provider · Type 1 NPI

Shannon Ericson, LCSW

Clinical Social Worker · Philadelphia, PA

NPI number 1629600820 Active

Practice location

811 N Hancock St
Philadelphia, PA 19123-3014

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW020926 (PA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1629600820

Shannon Ericson, LCSW's National Provider Identifier is 1629600820, issued on Feb 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 6, 2020.