Provider Demographics
NPI:1710188446
Name:WILLIAMS-HAMPTON, ERICKA M
Entity Type:Individual
Prefix:MRS
First Name:ERICKA
Middle Name:M
Last Name:WILLIAMS-HAMPTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERICKA
Other - Middle Name:M
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3859 W WEST END AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60624-2356
Mailing Address - Country:US
Mailing Address - Phone:773-440-0772
Mailing Address - Fax:
Practice Address - Street 1:3859 W WEST END AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60624-2356
Practice Address - Country:US
Practice Address - Phone:773-440-0772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
IL036-1333371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker