Individual provider · Type 1 NPI
Timothy M. Ericson, LCSW, LADC
Clinical Social Worker · Kennebunk, ME
Practice location
4 Dane St
Kennebunk, ME 04043-7054
Mailing address
95 Parker St
Newburyport, MA 01950-4033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC683 (ME) |
| Clinical Social Worker Primary | 1041C0700X | LC2045 (ME) |
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…
Another provider at this address
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About NPI 1720006943
Timothy M. Ericson, LCSW, LADC's National Provider Identifier is 1720006943, issued on Jul 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kennebunk, ME. The record was last updated on Sep 21, 2011.