Erica Rae Fada
Erica Rae Fada is a Clinical Social Worker in Chicago, Illinois. Qualified in 2022, 4 years ago. Registered with an NPI since 2022.
- Years since qualifying
- 4
- In the registry since
- 2022
Practice location Address checks out
4411 N Ravenswood Ave Ste 250Chicago, IL 60640-5802
Phone: (773) 892-1933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1992440341 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 30, 2022 |
| Last updated in NPPES | April 30, 2022 |
| Certification date | April 15, 2022 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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