Provider Demographics
NPI:1669032033
Name:ALATI-FARLEY, ERIKA DENISE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:DENISE
Last Name:ALATI-FARLEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 WOODHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-1323
Mailing Address - Country:US
Mailing Address - Phone:315-272-3602
Mailing Address - Fax:
Practice Address - Street 1:529 WOODHAVEN RD
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-1323
Practice Address - Country:US
Practice Address - Phone:315-272-3602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106352-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker