Individual provider · Type 1 NPI

Ericka Derose

Mental Health Counselor · Staten Island, NY

NPI number 1760336341 Active

About NPI 1760336341

Ericka Derose's National Provider Identifier is 1760336341, issued on Feb 23, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Feb 23, 2026.