Provider Demographics
NPI:1235540907
Name:LEWIS, ERICKA (MSW)
Entity Type:Individual
Prefix:
First Name:ERICKA
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ERICKA
Other - Middle Name:
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:2116 COLD SPRING RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-2319
Mailing Address - Country:US
Mailing Address - Phone:317-783-4003
Mailing Address - Fax:
Practice Address - Street 1:1404 S STATE AVE
Practice Address - Street 2:1404 S. STATE AVE
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-2009
Practice Address - Country:US
Practice Address - Phone:317-783-4003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker