MRS. KRISTIN ERICSON LCSW
NPI 1902110059
Social Worker - School in Port Jefferson, NY

Active since July 31, 2010
118 SPRING ST, PORT JEFFERSON, NY 11777(631) 476-0564 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristin Ericson Lcsw NPPES

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

MRS. KRISTIN ERICSON LCSW (NPI 1902110059) is an individual school provider in Port Jefferson, New York, licensed in New York (R047177-1) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1902110059
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameMRS. KRISTIN ERICSONCredential: LCSW
Location Address118 SPRING STPort Jefferson, NY 11777-1817
Mailing Address95 Greenport AveMedford, NY 11763-3728 · (631) 654-1967
Sole ProprietorYes
Enumeration DateJuly 31, 2010
Last NPPES UpdateSeptember 10, 2010
NPI 1902110059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License Licensed in NY · R047177-1
118 SPRING ST, Port Jefferson, NY 11777

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.

Social Worker (Clinical)
118 SPRING ST
PORT JEFFERSON, NY 11777
Psychologist (School)
118 SPRING ST
PORT JEFFERSON, NY 11777
Psychologist
118 SPRING ST
PORT JEFFERSON, NY 11777
Counselor (Mental Health)
118 SPRING ST
PORT JEFFERSON, NY 11777
Psychologist (School)
118 SPRING ST
PORT JEFFERSON, NY 11777
Social Worker (Clinical)
118 SPRING ST
PORT JEFFERSON, NY 11777
Social Worker (School)
118 SPRING ST
PORT JEFFERSON, NY 11777
Social Worker (School)
118 SPRING ST
PORT JEFFERSON, NY 11777

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 Kristin Ericson's NPI number?

The NPI number for Kristin Ericson is 1902110059. It was assigned to this individual provider in the NPPES registry on July 31, 2010.

Where is Kristin Ericson located?

Kristin Ericson practices at 118 Spring St, Port Jefferson, NY 11777. The listed phone number is (631) 476-0564.

What is Kristin Ericson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Kristin Ericson was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.