Provider Demographics
NPI:1689012668
Name:SHICK, ERICA ANN (LCPC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:ANN
Last Name:SHICK
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 ROSSITER PKWY
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-8353
Mailing Address - Country:US
Mailing Address - Phone:815-401-6241
Mailing Address - Fax:
Practice Address - Street 1:2201 ROSSITER PKWY
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-8353
Practice Address - Country:US
Practice Address - Phone:815-401-6241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.008587101YP2500X
IL180.009732101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional