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

Timothy M Ericson, LCSW, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720006943

Timothy M Ericson, LCSW, LADC is a Clinical Social Worker in Kennebunk, Maine. Qualified in 1987, 39 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
39
Licensed in
ME
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

4 Dane St
Kennebunk, ME 04043-7054
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 · Licence LC2045 (ME)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LC683 (ME)

Record details

NPI number1720006943
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LADC
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESSeptember 21, 2011

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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