Healthcare Provider Details

I. General information

NPI: 1336659739
Provider Name (Legal Business Name): ERIKA KATHERINE BISCHOF LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2017
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 ENTERPRISE PKWY
RICHMOND VA
23294-6341
US

IV. Provider business mailing address

2727 ENTERPRISE PKWY
RICHMOND VA
23294-6341
US

V. Phone/Fax

Practice location:
  • Phone: 540-480-2050
  • Fax:
Mailing address:
  • Phone: 540-949-7045
  • Fax: 540-949-8897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904010053
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: