TIMOTHY M ERICSON LCSW, LADC
NPI 1720006943
Social Worker - Clinical in Kennebunk, ME

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
4 DANE ST, KENNEBUNK, ME 04043(207) 985-4211 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy M Ericson Lcsw, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY M ERICSON LCSW, LADC (NPI 1720006943) is an individual clinical provider in Kennebunk, Maine, licensed in Maine (LC2045) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1720006943
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTIMOTHY M ERICSONCredential: LCSW, LADC
Location Address4 DANE STKennebunk, ME 04043-7054
Mailing Address95 Parker StNewburyport, MA 01950-4033 · (207) 985-4211
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 21, 2011
NPI 1720006943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ME · LC2045
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LC683 (ME)
4 DANE ST, Kennebunk, ME 04043

Other Identifiers 2

Medicare ID-Type UnspecifiedME1807ME
Other007005ME · Anthem Blue Cross

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy M Ericson Lcsw, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082629316
PECOS Enrollment IDI20060208000250
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
4 DANE ST
KENNEBUNK, ME 04043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Ericson's NPI number?

The NPI number for Timothy Ericson is 1720006943. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Timothy Ericson located?

Timothy Ericson practices at 4 Dane St, Kennebunk, ME 04043. The listed phone number is (207) 985-4211.

What is Timothy Ericson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Timothy Ericson enrolled in Medicare?

Yes. Timothy Ericson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Ericson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Timothy Ericson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Ericson was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.