TYLER J ERICSSON LSW - NPI 1841782794 - Social Worker in Boardman, OH

Q: What is Tyler Ericsson's NPI number?

The NPI number for Tyler Ericsson is 1841782794. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Q: What is Tyler Ericsson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Ericsson was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Tyler J Ericsson Lsw NPPES

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

TYLER J ERICSSON LSW (NPI 1841782794) is an individual social worker in Boardman, Ohio, licensed in Ohio (S.2005211) and active in the NPI registry since June 2018. He maintains a secondary practice location in Youngstown.

NPPES Registry Identity

NPI1841782794

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameTYLER J ERICSSONCredential: LSW

Location Address930 TRAILWOOD DRBoardman, OH 44512-5007

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (513) 873-1269 · Fax (833) 510-4357

Phone(833) 510-4357

Sole ProprietorNo

Enumeration DateJune 5, 2018

Last NPPES UpdateMarch 28, 20242 updates tracked since enumeration

NPPES CertifiedMarch 28, 2024

✔ NPI 1841782794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in OH · S.2005211✔ Licensed in OH · 1901066

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

930 TRAILWOOD DR, Boardman, OH 44512

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Secondary Practice Location 1

Location 1527 N Meridian RdYoungstown, OH 44509-1227 · Phone (330) 797-0070 · Fax (330) 797-9146

Other Providers at the Same Location NPPES 13

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

JOHN SAFAR CDCA

Counselor (Addiction (Substance Use Disorder))