Tim Ericson, LLC
NPI 1578132569ActiveOrganization· Social Worker, Clinical· Kennebunk, ME
Social Worker, Clinical in Kennebunk, Maine, registered in NPPES in June 2021. The authorized official on file is Timothy M. Ericson, MSW, Social Worker. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578132569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2021 |
| Last updated in NPPES | Jun 23, 2021 |
| Certified by provider | Jun 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ME) |
|---|
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