MEDICARE: ERICA MICHELLE LINDENBERG LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	24024	MD
2	1041C0700X	Clinical Social Worker	C014366	NC

General Provider Information

NPI Number	:	1609412360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA MICHELLE LINDENBERG LCSW

Provider Business Mailing Address
First Line	:	4928 PARK RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3506
Country	:	US
Telephone Number	:	199-283-1612
Fax Number	:

Provider Business Practice Location Address
First Line	:	4928 PARK RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3506
Country	:	US
Telephone Number	:	919-283-1612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2019
Last Update Date	:	07/22/2025

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