Provider Demographics
NPI:1285027151
Name:DRATTE, ERICA ALEXES (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:ERICA
Middle Name:ALEXES
Last Name:DRATTE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 UNDERHILL RD APT 6
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-9445
Mailing Address - Country:US
Mailing Address - Phone:845-321-4595
Mailing Address - Fax:
Practice Address - Street 1:43 UNDERHILL RD APT 6
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-9445
Practice Address - Country:US
Practice Address - Phone:845-321-4595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY093567-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health