MRS. MARIE ELIZABETH ERICKSON (NPI# 1538368964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538368964 |
| Entity Type | Individual |
| Full Name | MRS. MARIE ELIZABETH ERICKSON |
| Credential | LICSW |
| Practice Address |
207 E Cherry St Butler House Walla Walla WA 99362 |
| Mailing Address |
2304 Garrison St Walla Walla WA 99362 |
| Practice Telephone | 5095202283 |
| Mailing Telephone | 5095202283 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW00004310 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | UBI NUMBER | 6020557530010001 | 01 |
| GROUP HEALTH PIN NUMBER | 26595 | 01 | |
| MEDICARE ID NUMBER | R11636 | 01 |
| Street Address |
207 E CHERRY ST BUTLER HOUSE |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346896818 | Elizabeth Martinez | Social Worker | 77 Wainwright Dr Bldg 140, Walla Walla, WA 99362-3975 | 2019-08-12 |
| 1013470103 | Steven Gilbert Dalgleish | Social Worker | 1151 Hobson St, Walla Walla, WA 99362-2454 | 2019-04-07 |
| 1407317969 | Kirk Ryan Stadelmeyer | Social Worker | 77 Wainwright Dr Bldg 143, Walla Walla, WA 99362-3975 | 2019-03-27 |
| 1942768825 | Julie B. Lester Licsw LLC | Social Worker | 30 W Main St Ste 305, Walla Walla, WA 99362-2872 | 2019-03-08 |
| 1609331206 | Integrative Therapies Walla Walla, LLC | Social Worker | 19 E Birch St Ste 104, Walla Walla, WA 99362-3205 | 2019-02-07 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1093209413 | Amy L Nielson | Social Worker | 1760 Gray Lynn Dr, Walla Walla, WA 99362-9245 | 2018-06-19 |
| 1750889168 | Kim E Rodgers | Social Worker | 1104 W Poplar St, Walla Walla, WA 99362-2756 | 2018-01-31 |
| 1619492147 | Tamara Leigh Stream | Social Worker | 401 W Main St # 101, Walla Walla, WA 99362-2837 | 2017-08-05 |
| 1871958967 | Siskiwit Bay Counseling, Pllc | Social Worker | 128 N 2nd Ave, Suite 209, Walla Walla, WA 99362-0042 | 2015-12-16 |
| Find all providers in WALLA WALLA | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.