Individual provider Active NPI

Ericka M Williams-Hampton

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1710188446
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
036-133337 Issued in IL
Practice address
3859 W West End Ave
Chicago, IL 60624-2356
Phone
(773) 440-0772
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 036-133337 IL Primary

Addresses

Primary practice location

3859 W West End Ave
Chicago, IL 60624-2356

Mailing address

3859 W West End Ave
Chicago, IL 60624-2356
Phone (773) 440-0772

Other names 1

  • Ericka M Hampton Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ewilliams7@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325000241 IL Order and Referring Only - Clinical Social Worker 6901162320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036-133337ILMDHematology (Internal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: ewilliams7@direct.ccprovider.org

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1710188446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 W WEST END AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242356",
            "telephone_number": "773-440-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3859 W WEST END AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242356",
            "telephone_number": "773-440-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-HAMPTON",
        "first_name": "ERICKA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "036-133337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewilliams7@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERICKA",
            "last_name": "HAMPTON",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.