Provider Demographics
NPI:1235696360
Name:MCCARTHY, RIKKI LYN (MSW, LSCW)
Entity Type:Individual
Prefix:
First Name:RIKKI LYN
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MSW, LSCW
Other - Prefix:
Other - First Name:RIKKI LYN
Other - Middle Name:
Other - Last Name:HAUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 CLERICO LN STE 214
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1620
Mailing Address - Country:US
Mailing Address - Phone:089-210-1622
Mailing Address - Fax:
Practice Address - Street 1:2 CLERICO LN STE 214
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1620
Practice Address - Country:US
Practice Address - Phone:089-210-1622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06434300104100000X
NJ44SC062013001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker