Provider Demographics
NPI:1578936407
Name:LECHOWICH-RAGLAND, ERIKA (LCSW)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:LECHOWICH-RAGLAND
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 1:1401 PEACHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-6937
Mailing Address - Country:US
Mailing Address - Phone:813-842-0934
Mailing Address - Fax:
Practice Address - Street 1:1401 PEACHFIELD DR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-6937
Practice Address - Country:US
Practice Address - Phone:813-842-0934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 131621041C0700X
FLSW13162101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health