MRS. KRISTIN ERICSON (NPI# 1902110059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902110059 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN ERICSON |
| Credential | LCSW |
| Practice Address |
118 Spring St Port Jefferson NY 11777-1817 |
| Mailing Address |
95 Greenport Ave Medford NY 11763-3728 |
| Practice Telephone | 6314760564 |
| Mailing Telephone | 6316541967 |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2010-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
R047177-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
118 SPRING ST |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972903946 | Candice Cepeda | Speech-Language Pathologist | 118 Spring St, Port Jefferson, NY 11777-1817 | 2014-08-27 |
| 1871837922 | Christian Adam Scott | Social Worker | 118 Spring St, Jefferson Academic Center, Port Jefferson, NY 11777-1817 | 2012-11-15 |
| 1841508546 | Shauna S O'hanlon | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-16 |
| 1235447053 | Lisa Taxman Goldfarb | Psychologist | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-14 |
| 1922315878 | Lisa Jill Reilly | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-13 |
| 1669789525 | Nancy Rosenberg | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-13 |
| 1942517842 | Lisa Rachel Kaye | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841508546 | Shauna S O'hanlon | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-16 |
| 1669789525 | Nancy Rosenberg | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-13 |
| 1942517842 | Lisa Rachel Kaye | Social Worker | 118 Spring St, Port Jefferson, NY 11777-1817 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584891 | Alliah Irtan | Social Worker | 20 Randall Ave Apt 3m, Freeport, NY 11520-2756 | 2020-10-02 |
| 1144834045 | Luis Steven Maisonet | Social Worker | 255 Porter Ave, Buffalo, NY 14201-1051 | 2020-09-08 |
| 1386258135 | Kimberly Lama Khan | Social Worker | 301 Henry St Fl 1, New York, NY 10002-4840 | 2020-08-31 |
| 1801406327 | Simone Curling | Social Worker | 93 Lewis Ave Apt 10a, Brooklyn, NY 11206-7031 | 2020-08-10 |
| 1720604622 | Matthew Joseph Danis | Social Worker | 219 W 15th St Apt 1f, New York, NY 10011-6449 | 2020-06-17 |
| 1710512538 | Carmen I Ramos | Social Worker | 580 Castle Hill Ave Apt 7a, Bronx, NY 10473-1514 | 2020-03-12 |
| 1134753429 | Susan London | Social Worker | 5 Peter Cooper Rd Apt Me, New York, NY 10010-6635 | 2020-02-26 |
| 1952948432 | Esmeralda Murati | Social Worker | 65 Tuckahoe Ave, Eastchester, NY 10709-3624 | 2019-12-04 |
| 1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
| 1891345781 | Danielle Tooley | Social Worker | 403 Broadway, Kingston, NY 12401-4625 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on MRS. KRISTIN ERICSON.
| 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.