MEDICARE: ERICKA S PAYNE

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	101YP1600X	Pastoral Counselor	23022	MD

General Provider Information

NPI Number	:	1578417028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICKA S PAYNE

Provider Business Mailing Address
First Line	:	5316 HILLEN RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21239-3613
Country	:	US
Telephone Number	:	443-653-6101
Fax Number	:

Provider Business Practice Location Address
First Line	:	5316 HILLEN RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21239-3613
Country	:	US
Telephone Number	:	443-653-6101
Fax Number	:

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

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “ ERICKA S PAYNE ” Practice Location

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