Healthcare Provider Details

I. General information

NPI: 1033742556
Provider Name (Legal Business Name): ERICKA SUROWANIEC LPC, CSAC, ICS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 COLLEGE AVE
SOUTH MILWAUKEE WI
53172-1150
US

IV. Provider business mailing address

1333 COLLEGE AVE # M1
SOUTH MILWAUKEE WI
53172-1150
US

V. Phone/Fax

Practice location:
  • Phone: 414-775-2500
  • Fax:
Mailing address:
  • Phone: 414-775-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17008-132
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10278-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: