MRS. ANTOINETTE L. ERICKSON (NPI# 1962511691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962511691 |
| Entity Type | Individual |
| Full Name | MRS. ANTOINETTE L. ERICKSON |
| Other Name | 'TONI' ERICKSON |
| Credential | MSW, LCSW |
| Practice Address |
350 Broadway St Suite 205 Boulder CO 80305-3343 |
| Mailing Address |
193 N Cedar Brook Rd Boulder CO 80304-0417 |
| Practice Telephone | 3034404234 |
| Practice Fax Number | 3034421630 |
| Mailing Telephone | 3034404234 |
| Mailing Fax Number | 4404421630 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
989635 | CO | Behavioral Health & Social Service Providers |
| Street Address |
350 BROADWAY ST SUITE 205 |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173519 | Robert Alan Jelinek | Podiatrist | 350 Broadway St, #208, Boulder, CO 80305-3343 | 2005-09-07 |
| 1023375664 | Karin Dejong Vanbaak | Family Medicine | 350 Broadway St, #130, Boulder, CO 80305-3343 | 2012-04-20 |
| 1871884767 | Eve C Greenberg | Counselor | 350 Broadway St, Boulder, CO 80305-3343 | 2011-04-26 |
| 1386767200 | Heidi Jaye Fedor | Counselor | 350 Broadway St, Suite 205, Boulder, CO 80305-3343 | 2007-04-07 |
| 1922140219 | Gordon N Gates | Dentist | 350 Broadway St, Suite 201, Boulder, CO 80305-3338 | 2007-02-13 |
| 1275697799 | Don P Marinelli | Psychologist | 350 Broadway St, Suite 205, Boulder, CO 80305-3343 | 2006-12-20 |
| 1700951159 | Lauren Roseann Goldsmith | Psychologist | 350 Broadway St, Ste 210, Boulder, CO 80305-3338 | 2006-11-21 |
| 1477661213 | Robert Bruce Hopper | Psychologist | 350 Broadway St, Suite 205, Boulder, CO 80305-3343 | 2006-08-29 |
| 1588770218 | Susan Nofziger | Social Worker | 350 Broadway St, Ste 205, Boulder, CO 80305-3338 | 2006-08-23 |
| 1659380996 | Jason James Atha | Dentist | 350 Broadway St, Suite 10, Boulder, CO 80305-3343 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| 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 |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1821603085 | Timothy Kleinknecht | Social Worker | 3250 Oneal Cir Apt J36, Boulder, CO 80301-1469 | 2020-09-14 |
| 1831708205 | Center for Valued Living, Pllc | Social Worker | 2825 Marine St Ste 204, Boulder, CO 80303-1027 | 2020-07-30 |
| 1528688140 | Eandd, LLC | Social Worker | 1320 Ithaca Dr, Boulder, CO 80305-6334 | 2020-04-23 |
| 1720639065 | Melissa Thompson | Social Worker | 6007 Oreg Ave, Boulder, CO 80303-1314 | 2019-09-27 |
| 1609426469 | Cathy Summer | Social Worker | 350 Ponca Place, Suite 250, Boulder, CO 80303-3875 | 2019-09-13 |
| 1578126264 | Lenora Rae Schlosser | Social Worker | 2653 Juniper Ave, Boulder, CO 80304-2459 | 2019-04-17 |
| 1619438074 | Wendie J. Vanderwater | Social Worker | 110 Venture Way, Boulder, MT 59632 | 2019-03-28 |
| 1720545148 | Ann Weatherby | Social Worker | 1249 Harrison Ct, Boulder, CO 80303-1138 | 2019-02-21 |
| 1700359460 | Sarah Corrie Shapiro | Social Worker | 121 Kelly Rd E, Boulder, CO 80302-9670 | 2019-01-05 |
| Find all providers in BOULDER | ||||
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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.