Provider Demographics
NPI:1437431053
Name:SOTO, ERICA (LCSW)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:SOTO
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 1:7 OLD SHERMAN TPKE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-4174
Mailing Address - Country:US
Mailing Address - Phone:203-885-9296
Mailing Address - Fax:203-205-0920
Practice Address - Street 1:7 OLD SHERMAN TPKE
Practice Address - Street 2:SUITE 102
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-4174
Practice Address - Country:US
Practice Address - Phone:203-885-9296
Practice Address - Fax:203-205-0920
Is Sole Proprietor?:No
Enumeration Date:2011-09-10
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0067261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical