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Provider Information for 1710188446


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Mrs. ERICKA M WILLIAMS-HAMPTON


Other Names:  
Professional Name: 
ERICKA M HAMPTON LCSW

Sex: Female

NPI: 1710188446
Last Updated: 2021-05-04
Certification Date: 2021-05-04

Details

NameValue
NPI1710188446
Enumeration Date2007-05-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3859 W WEST END AVE
CHICAGO, IL 60624-2356
United States

Phone: 773-440-0772 | Fax:
 
Primary Practice Address 3859 W WEST END AVE
CHICAGO, IL 60624-2356
United States

Phone: 773-440-0772 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
ewilliams7@direct.ccprovider.org
Direct Cook County 1969 W. Ogden Ave.
Chicago, IL 60612-3723
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 104100000X - Social Worker
Yes 1041C0700X - Social Worker - ClinicalIL036-133337