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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT ERICKSON, MS, SAC

Active

BRENT ERICKSON, MS, SAC is a Social Worker healthcare provider located in PORTAGE, Wisconsin. NPI 1295836567 is currently active in the NPPES registry. Verify at CMS.

Social Worker · PORTAGE, WI

Registration Details

NPI Number
1295836567
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2006 (19.842593976221 yrs)
Last Updated
May 21, 2015
Licenses
1521 (WI)
1783-123 (WI)
1783-123 (WI)

Practice Information

Address
2901 HUNTERS TRL
PORTAGE, WI, 539013403
Browse WI providers · Browse ZIP 53901
Phone
6087425518
Fax
6087424087
Primary Specialty
Social Worker
104100000X
Additional Specialty
Clinical Social Worker
Additional Specialty
Social Worker

Other Social Worker Providers in PORTAGE, WI

Name Credential NPI
SARAH LYNN NILES M.S.S.W. CAPSW 1740778935
CHERYL MILLARD LCSW 1952874281
CLAIRE A STALEY APSW 1164086112
KRISTEN HANSEN 1588205462
RACHEL E REYNDERS MSW, APSW 1114689254
JENA M BLADL APSW 1760134084
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.