Provider Demographics
NPI:1598652182
Name:LUNDSTROM, ERIKA RACHEL (LMSW)
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:RACHEL
Last Name:LUNDSTROM
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16211 TRAVIS ST UNIT 9310
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-8786
Mailing Address - Country:US
Mailing Address - Phone:913-339-8166
Mailing Address - Fax:
Practice Address - Street 1:21901 S VICTORY RD APT A
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:KS
Practice Address - Zip Code:66083-9615
Practice Address - Country:US
Practice Address - Phone:913-357-5381
Practice Address - Fax:913-222-1912
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14202104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker