Individual provider Active NPI

Ericka Witek, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1730956210
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2620 Kessler Boulevard East Dr Ste 110
Indianapolis, IN 46220-2889
Phone
(833) 904-2273
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2620 Kessler Boulevard East Dr Ste 110
Indianapolis, IN 46220-2889

Mailing address

8880 E 131St St
Fishers, IN 46038-3546
Phone (219) 902-8791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250404001546 IN Practitioner - Clinical Social Worker 5991228058 Reassigns benefits to 1 organization
I20250506002182 MI Practitioner - Clinical Social Worker 5991228058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, P.a. CurrentSince Jan 25, 2025 Accepting new patients

Locations

16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529

2620 Kessler Boulevard East Dr
Ste 110
Indianapolis, IN 46220
Phone (551) 804-3029

186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1730956210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 E 131ST ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383546",
            "telephone_number": "219-902-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 KESSLER BOULEVARD EAST DR STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202889",
            "telephone_number": "833-904-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITEK",
        "first_name": "ERICKA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.