Healthcare Provider Details

I. General information

NPI: 1447635727
Provider Name (Legal Business Name): JOYCE ERICSON MSW, LICSW, LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-5732
US

IV. Provider business mailing address

5534 KAREN ELAINE DR APT 1746
NEW CARROLLTON MD
20784-4147
US

V. Phone/Fax

Practice location:
  • Phone: 202-563-7632
  • Fax:
Mailing address:
  • Phone: 908-485-0187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25732
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberLC50081893
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05594700
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC50081893
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: