Provider Demographics
NPI:1922501584
Name:ERIKA BISCHOFF, LICENSED CLINICAL SOCIAL WORKER, INC.
Entity Type:Organization
Organization Name:ERIKA BISCHOFF, LICENSED CLINICAL SOCIAL WORKER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:BISCHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:424-256-5426
Mailing Address - Street 1:601 VERNON ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1419
Mailing Address - Country:US
Mailing Address - Phone:424-256-5426
Mailing Address - Fax:310-943-2489
Practice Address - Street 1:520 S SEPULVEDA BLVD STE 306
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-3536
Practice Address - Country:US
Practice Address - Phone:424-256-5426
Practice Address - Fax:424-832-1432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-09
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS250601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty