Individual ProviderErika PetersonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1264 N Schick Pl Unit 1, Chicago, IL 60610-3561(708) 308-7927PECOS EnrollmentBased on the most recent information from CMS, provider Erika Peterson is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1982462198Provider TypeIndividualFull NamePeterson, ErikaCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date3/12/2024Last Updated3/12/2024Contact InformationPractice LocationPractice Address1264 N Schick Pl Unit 1, Chicago, IL 60610-3561Phone(708) 308-7927FaxUnlisted FaxMailing LocationMailing Address1264 N Schick Pl Unit 1, Chicago, IL 60610-3561PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149022365Illinois