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Contact Information

TIMOTHY M ERICSON, LCSW, LADC
4 DANE ST
KENNEBUNK, ME04043-7054
 Phone: 207-985-4211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for TIMOTHY M ERICSON · (Male)

NPI Number 1720006943
Status Active
Credentials LCSW, LADC
Entity Individual
Enumeration date 07/17/2006
Last updated 09/21/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # LC2045
  • ME License # LC683
  • ME Other 007005 ANTHEM BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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