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NPI Code Detail

MEDICARE: CAITLIN D. ERICKSON LMSW

MEDICARE: CAITLIN D. ERICKSON LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerM-09293NM

General Provider Information

NPI Number : 1932580982
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN D. ERICKSON LMSW
Provider Business Mailing Address
First Line : 1029 SANDIA VISTA RD NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87144-5161
Country : US
Telephone Number : 505-379-3836
Fax Number :
Provider Business Practice Location Address
First Line : 2221 RIO GRANDE BLVD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87104-2529
Country : US
Telephone Number : 505-830-1871
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2015
Last Update Date : 02/14/2017

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Directions to “ CAITLIN D. ERICKSON LMSW” Practice Location

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