Healthcare Provider Details

I. General information

NPI: 1437069432
Provider Name (Legal Business Name): LINDSEY ERICKSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 18TH ST NE
SALEM OR
97301-4317
US

IV. Provider business mailing address

255 18TH ST NE
SALEM OR
97301-4317
US

V. Phone/Fax

Practice location:
  • Phone: 503-739-1924
  • Fax:
Mailing address:
  • Phone: 503-739-1924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberL17031
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: