Tim Ericson, LLC
NPI 1578132569 · Clinical Social Worker · Kennebunk, ME
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tim Ericson, LLC is a Clinical Social Worker organization in Kennebunk, ME (NPI 1578132569).
Provider details
- NPI number
- 1578132569
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Ericson, Social Worker(207) 985-4211
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-23
- Last updated
- 2021-06-23
- Certified
- 2021-06-23
Frequently asked questions
- What is Tim Ericson, LLC's NPI number?
- Tim Ericson, LLC's National Provider Identifier (NPI) is 1578132569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tim Ericson, LLC?
- Tim Ericson, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tim Ericson, LLC located?
- Tim Ericson, LLC's practice location on file with NPPES is 62 Portland Rd, Kennebunk, ME 04043-6658.
- What is Tim Ericson, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tim Ericson, LLC is (207) 985-4211.
- Does Tim Ericson, LLC accept Medicare?
- Tim Ericson, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tim Ericson, LLC?
- The authorized official listed on Tim Ericson, LLC's NPPES record is Timothy Ericson, Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tim Ericson, LLC's NPI active?
- Yes — Tim Ericson, LLC's NPI (1578132569) is active in the NPPES registry as of the last update on 2021-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.