Healthcare Provider Details

I. General information

NPI: 1902789340
Provider Name (Legal Business Name): ERICA LUCATERO ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

683 SYLVANDALE AVE
SAN JOSE CA
95111-1414
US

IV. Provider business mailing address

2001 GATEWAY PL STE 230E
SAN JOSE CA
95110-3719
US

V. Phone/Fax

Practice location:
  • Phone: 408-622-6651
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: