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NPI Code Detail

MEDICARE: ERICA LYNN WHEELER LCSW, LADC, CCS

MEDICARE: ERICA LYNN WHEELER LCSW, LADC, CCS
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLC8584ME
2174V00000XClinical EthicistCCS8571ME
31041C0700XClinical Social WorkerLC24819ME

General Provider Information

NPI Number : 1366163628
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA LYNN WHEELER LCSW, LADC, CCS
Provider Business Mailing Address
First Line : 30 LEAVITT ST
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-1843
Country : US
Telephone Number : 207-399-8678
Fax Number : 844-331-2315
Provider Business Practice Location Address
First Line : 30 LEAVITT ST
Second Line :
City : SKOWHEGAN
State : ME
Zip : 04976-1843
Country : US
Telephone Number : 207-399-8678
Fax Number : 844-331-2315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2022
Last Update Date : 04/17/2026

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