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

Individual provider Clinical Social Worker · NPI 1700112174

Susan M Ericson, LCSW is a Clinical Social Worker in Waterbury, Connecticut. Qualified in 2003, 23 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
23
Licensed in
CT
In the registry since
2009
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

64 Robbins St Waterbury Hospital - Crisis Ctr
Waterbury, CT 06721
Phone: (203) 573-6103
Fax: (203) 573-7240
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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 007107 (CT)

Record details

NPI number1700112174
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 20, 2009
Last updated in NPPESOctober 20, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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