Provider Demographics
NPI:1194396051
Name:CARTICA, LOIS
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:
Last Name:CARTICA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FOUNTAIN LN APT 3C
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4656
Mailing Address - Country:US
Mailing Address - Phone:914-391-1311
Mailing Address - Fax:
Practice Address - Street 1:1 FOUNTAIN LN APT 3C
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4656
Practice Address - Country:US
Practice Address - Phone:914-391-1311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR034030-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical