Provider Demographics
NPI:1932428240
Name:DIVENTI, RITA (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:
Last Name:DIVENTI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 D. DELSEA DRIVE
Mailing Address - Street 2:
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-2621
Mailing Address - Country:US
Mailing Address - Phone:856-869-0006
Mailing Address - Fax:856-881-7614
Practice Address - Street 1:42 S. DELSEA DRIVE
Practice Address - Street 2:
Practice Address - City:GLASSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08028-2621
Practice Address - Country:US
Practice Address - Phone:856-881-8689
Practice Address - Fax:856-881-7614
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05418800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional