Healthcare Provider Details

I. General information

NPI: 1639089725
Provider Name (Legal Business Name): ARIANA PRATT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8610 NY-69
ORISKANY NY
13424
US

IV. Provider business mailing address

6771 ROME WESTMORELAND RD
ROME NY
13440-1321
US

V. Phone/Fax

Practice location:
  • Phone: 315-768-2149
  • Fax:
Mailing address:
  • Phone: 315-272-9706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number132812
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: