Provider Demographics
NPI:1497047328
Name:GATER, ERICA (CSC- AD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:GATER
Suffix:
Gender:F
Credentials:CSC- AD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 GREENSPRING DR
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4128
Mailing Address - Country:US
Mailing Address - Phone:410-453-9553
Mailing Address - Fax:443-612-1488
Practice Address - Street 1:1101 N POINT BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3417
Practice Address - Country:US
Practice Address - Phone:410-285-8157
Practice Address - Fax:410-285-8298
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD357101YA0400X
MDSC1872101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD357OtherDHMH ALCOHOL & DRUG TRAINIEE EMPLOYMENT AUTHORIZATION