| Erica L Freeman, Lcsw | |
|
1400 High St Ste C1 Eugene OR 97401-4192 | |
| (541) 345-7010 | |
| (541) 343-1044 |
| Full Name | Erica L Freeman, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 1400 High St Ste C1, Eugene, Oregon |
| Authorized Official Name and Position | Erica L Hernandez (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 5413457010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erica L Freeman, Lcsw 1400 High St Ste C1 Eugene OR 97401-4192 Ph: (541) 345-7010 | Erica L Freeman, Lcsw 1400 High St Ste C1 Eugene OR 97401-4192 Ph: (541) 345-7010 |
| NPI Number | 1538649074 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 10/26/2018 |
| Medicare PECOS PAC ID | 3779820055 |
|---|---|
| Medicare Enrollment ID | O20190124000930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538649074 | NPI | - | NPPES |
| 50060860 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3688 (Oregon) | Primary |
| Provider Name | Erica L Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265584239 PECOS PAC ID: 3577669035 Enrollment ID: I20070501000165 |
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