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NPI Code Detail

MEDICARE: ERICA R. WHITT LISW

MEDICARE:   ERICA R. WHITT  LISW
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
11041C0700XClinical Social Worker9403SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942459847
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA R. WHITT LISW
Provider Business Mailing Address
First Line : PO BOX 5158
Second Line :
City : SPARTANBURG
State : SC
Zip : 29304-5158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 460 LANGDON ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-1614
Country : US
Telephone Number : 864-582-2411
Fax Number : 864-764-1336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2008
Last Update Date : 07/29/2019

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Directions to “ ERICA R. WHITT LISW” Practice Location

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