National Provider Identifier

Erica Yvette Darrisaw, LCSW-R

Erica Yvette Darrisaw, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 664-6563.

NPI 1922179332Rochester, NYClinical Social Worker

Profile Overview

NPI
1922179332
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
November 10, 2006
Last Updated
November 15, 2022

Practice Location

  • 1600 Wind Willow Way Apt 14
  • Rochester, NY 14624-6099

Phone: (585) 664-6563

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1922179332
Entity Type
Individual
Last Name
Darrisaw
First Name
Erica
Middle Name
Yvette
Name Prefix
MS.
Credential
LCSW-R
Provider Other Last Name
Darrisaw
Provider Other First Name
Erica
Provider Other Middle Name
Y
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
LCSW-R
Provider Other Last Name Type Code
5
Mailing Street Address
1600 Wind Willow Way Apt 14
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-6099
Mailing Country
US
Mailing Phone
(585) 664-6563
Practice Street Address
1600 Wind Willow Way Apt 14
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-6099
Practice Country
US
Practice Phone
(585) 664-6563
Enumeration Date
November 10, 2006
Last Updated
November 15, 2022
Sex
Female
Sole Proprietor
No
Certification Date
November 15, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)