Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tim Ericson, LLC

Organization Clinical Social Worker · NPI 1578132569

Tim Ericson, LLC is a Clinical Social Worker in Kennebunk, Maine. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

62 Portland Rd
Kennebunk, ME 04043-6658
Phone: (207) 985-4211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1578132569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Ericson — Social Worker · (207) 985-4211
NPI enumeratedJune 23, 2021
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address62 Portland Rd, Kennebunk, ME 04043-6658

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