Individual provider Active NPI

Ericka S Johnson-White, ,MSW, LSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1558047043
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150107606 Issued in IL
Practice address
10 S Riverside PLZ Ste 875
Chicago, IL 60606-3717
Phone
(833) 427-2264
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150107606 IL Primary

Addresses

Primary practice location

10 S Riverside PLZ Ste 875
Chicago, IL 60606-3717

Mailing address

10 S Riverside PLZ Ste 875
Chicago, IL 60606-3717
Phone (833) 427-2264

Other practice location 1

4750 Hickory Creek Dr Apt 8
University Park, IL 60484-3093
Phone (708) 724-7271

Other names 1

  • Ericka S Johnson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150107606ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1558047043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ STE 875",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063717",
            "telephone_number": "833-427-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ STE 875",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063717",
            "telephone_number": "833-427-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Hickory Creek Dr Apt 8",
            "address_purpose": "LOCATION",
            "city": "University Park",
            "state": "IL",
            "postal_code": "604843093",
            "country_code": "US",
            "telephone_number": "708-724-7271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-WHITE",
        "first_name": "ERICKA",
        "middle_name": "S",
        "credential": ",MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150107606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICKA",
            "last_name": "JOHNSON",
            "middle_name": "S",
            "credential": ",MSW, LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.