Provider Demographics
NPI:1730956210
Name:WITEK, ERICKA (LCSW)
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:
Last Name:WITEK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8880 E 131ST ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-3546
Mailing Address - Country:US
Mailing Address - Phone:219-902-8791
Mailing Address - Fax:
Practice Address - Street 1:2620 KESSLER BOULEVARD EAST DR STE 110
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-2889
Practice Address - Country:US
Practice Address - Phone:833-904-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical