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

Mrs. Kristin Ericson, LCSW

Individual provider School Social Worker · NPI 1902110059

Mrs. Kristin Ericson, LCSW is a School Social Worker in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
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

118 Spring St
Port Jefferson, NY 11777-1817
Phone: (631) 476-0564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X · Licence R047177-1 (NY)

Record details

NPI number1902110059
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 31, 2010
Last updated in NPPESSeptember 10, 2010

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