Provider Demographics
NPI:1518098615
Name:DAVIS, ERIKA (LICSW)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-4374
Mailing Address - Country:US
Mailing Address - Phone:802-233-3946
Mailing Address - Fax:
Practice Address - Street 1:1795 WILLISTON RD STE 330
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6487
Practice Address - Country:US
Practice Address - Phone:802-233-3946
Practice Address - Fax:802-497-0945
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0089-0011151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical