Ericka Axness, LCSW and Associates, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011074 Issued in IL

Legal business name

ERICKA AXNESS, LCSW AND ASSOCIATES, LLC

Practice address

129 Fairfield Way
303A
Bloomingdale, IL 60108-1560

Phone

(630) 864-0671

Fax

(630) 597-2541

NPI assigned

Sep 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ericka Jane Axness, LCSW

Title

Owner

Phone

(630) 864-0671

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1285002287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FAIRFIELD WAY",
            "address_2": "303A",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081560",
            "telephone_number": "630-864-0671",
            "fax_number": "630-597-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FAIRFIELD WAY",
            "address_2": "303A",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081560",
            "telephone_number": "630-864-0671",
            "fax_number": "630-597-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKA AXNESS, LCSW AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "AXNESS",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-864-0671",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.