Provider Demographics
NPI:1538128152
Name:RITCHIE, JAMES FREDERICK (LICSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:FREDERICK
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 WARD ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4804
Mailing Address - Country:US
Mailing Address - Phone:781-749-9233
Mailing Address - Fax:781-740-0233
Practice Address - Street 1:175 DERBY ST STE 7
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4021
Practice Address - Country:US
Practice Address - Phone:781-749-9233
Practice Address - Fax:781-740-0233
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1051881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP20804Medicare ID - Type Unspecified