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NPI 1194435008

NPI 1194435008 : ERIKA WILLIAMS : FORT WAYNE, IN

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General NPI Number Information
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    NPI Number           |    1194435008
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA WILLIAMS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/01/2022
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    2622 LAKE AVE STE 1 
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    City                 |    FORT WAYNE
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    State                |    IN
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    Zip                  |    46805-5410
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    Country              |    US
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    Telephone            |    260-299-3160
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    240 N TILLOTSON AVE 
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    City                 |    MUNCIE
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    State                |    IN
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    Zip                  |    47304-3988
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    Country              |    US
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    Telephone            |    765-288-1928
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    34012271A
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    License Number State |    IN
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