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

Mr. Mark Eric Ericson, LCSW

Individual provider Clinical Social Worker · NPI 1609817386

Mr. Mark Eric Ericson, LCSW is a Clinical Social Worker in Phoenix, Arizona. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

650 E Indian School Rd Mhicm
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
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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 · Licence 2002020181 (MO)

Record details

NPI number1609817386
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESJuly 8, 2007

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