Erik Erickson, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Rosa, California. His current practice location is
3863 Montgomery Dr, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at
(707) 941-0082.
Erik Erickson is licensed to practice in California (license number 108094) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730387770.
Healthcare Provider's Profile
Full Name | Erik Erickson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 3863 Montgomery Dr, Santa Rosa, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730387770
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759749054
- Enrollment ID: I20230619001198
Medical Identifiers
Medical identifiers for Erik Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730387770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 60419 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 108094 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erik Erickson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Erik Erickson, MSW, LCSW 1034 Bush St, Santa Rosa, CA 95404-5112 Ph: (707) 941-0082 | Erik Erickson, MSW, LCSW 3863 Montgomery Dr, Santa Rosa, CA 95405-5244 Ph: (707) 941-0082 |
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