Erica Sudikoff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS14995 Issued in CA

Practice address

2484Shattuck Ave
Suite 210
Berkely, CA 94704

Phone

(510) 704-7480

Fax

(510) 704-7494

NPI assigned

Sep 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Erica G Sudikoff Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144324849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 SHATTUCK AVE",
            "city": "BERKELY",
            "state": "CA",
            "postal_code": "94709",
            "telephone_number": "510-558-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484SHATTUCK AVE",
            "address_2": "SUITE 210",
            "city": "BERKELY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "510-704-7480",
            "fax_number": "510-704-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDIKOFF",
        "first_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "SUDIKOFF",
            "middle_name": "G",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Inpatient Consultants of California, Inc.
• Ilene Lee, PH.D.

• Clinical Social Worker in Berkely, CA
• Providers in Berkely, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.