Active NPI
Ericka Witek, LCSW
- Clinical Social Worker
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cityblock Medical Practice, P.a. | Current | 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
- Wishkids International (Wish Therapeutic Services (WTS))
- Wishkids International (Wish Therapeutic Services)
- Patricia L Wisler, M.D.
- Amanda Nicole Wissmann Klage
- Dennis Witcher
- With Open Arms Home Care LLC
- Witham Memorial Hospital (Arlington Place Health Campus)
- Witham Memorial Hospital (Clearvista Lake Health Campus)
- James Todd Witham, SLP
- Richard S Witham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.