Provider Demographics
NPI:1891261921
Name:CABALLERO, ERIKA DEL; CARMEN (LCSW)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:DEL; CARMEN
Last Name:CABALLERO
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 1:7146 BALLANTRAE CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2090
Mailing Address - Country:US
Mailing Address - Phone:786-291-3536
Mailing Address - Fax:
Practice Address - Street 1:7146 BALLANTRAE CT
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2090
Practice Address - Country:US
Practice Address - Phone:786-291-3536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW134491041C0700X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical