1. Home
  2. Directory
  3. Massachusetts
  4. South Boston
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ANDREA M ERICKSEN
NPI 1841572336
Student in an Organized Health Care Education/Training Program in South Boston, MA

Active since September 12, 2011
58 OLD COLONY AVE, SOUTH BOSTON, MA 02127(617) 268-1700(617) 268-1991 Get Directions Write a Review

NPPES record last updated: September 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea M Ericksen NPPES

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

ANDREA M ERICKSEN (NPI 1841572336) is an individual student in an organized health care education/training program in South Boston, Massachusetts and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1841572336
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANDREA M ERICKSEN
Location Address58 OLD COLONY AVESouth Boston, MA 02127-2406
Mailing Address58 Old Colony AveSouth Boston, MA 02127-2406 · (617) 268-1700 · Fax (617) 268-1991
Phone(617) 268-1700
Fax(617) 268-1991
Sole ProprietorNo
Enumeration DateSeptember 12, 2011
✔ NPI 1841572336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
58 OLD COLONY AVE, South Boston, MA 02127
Open in Google Maps ↗

Other Providers at the Same Location NPPES 15

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

MS. ROBERTA REICH L.M.H.C.
Counselor (Mental Health)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
BLAKE RITTER
Nurse Practitioner (Psychiatric/Mental Health)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
MR. DANIEL T SULLIVAN LICSW
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
JOHN AUGUSTUS NORTHRIDGE LICSW
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
JOANNA BENGEL
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
MS. JULIA TADDONIO
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
MS. MARIE T RAPAZZINI APRN,BC
Registered Nurse (Psychiatric/Mental Health, Adult)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700
MRS. MARY ELIZABETH KELLEHER LICSW
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-1700

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 Andrea Ericksen's NPI number?

The NPI number for Andrea Ericksen is 1841572336. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Where is Andrea Ericksen located?

Andrea Ericksen practices at 58 Old Colony Ave, South Boston, MA 02127. The listed phone number is (617) 268-1700.

What is Andrea Ericksen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrea Ericksen was last updated on September 12, 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.