Provider Demographics
NPI:1427594860
Name:DUCATI, ERIKA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:
Last Name:DUCATI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 BUCHANAN DR
Mailing Address - Street 2:
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-1639
Mailing Address - Country:US
Mailing Address - Phone:415-225-6894
Mailing Address - Fax:
Practice Address - Street 1:3030 BRIDGEWAY STE 242
Practice Address - Street 2:
Practice Address - City:SAUSALITO
Practice Address - State:CA
Practice Address - Zip Code:94965-3801
Practice Address - Country:US
Practice Address - Phone:415-225-6894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical