MEDICARE: ERICA FRANCES SCHOMMER LCPC, LPC

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	101YP2500X	Professional Counselor	LC7686	MD
2	101YP2500X	Professional Counselor	PC012736	PA

General Provider Information

NPI Number	:	1861951485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA FRANCES SCHOMMER LCPC, LPC

Provider Business Mailing Address
First Line	:	PO BOX 29451
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19125-9451
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2214 E ALBERT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19125-1805
Country	:	US
Telephone Number	:	201-213-9067
Fax Number	:

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

Provider Enumeration Date	:	03/13/2019
Last Update Date	:	01/21/2022

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