Provider Demographics
NPI:1174730402
Name:TORRES, RITA (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:
Last Name:TORRES
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 1:15 ACORN DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2219
Mailing Address - Country:US
Mailing Address - Phone:732-671-0193
Mailing Address - Fax:
Practice Address - Street 1:HALCYON ELDERCARE
Practice Address - Street 2:102 HIGHLAND AVE
Practice Address - City:LEONARDO
Practice Address - State:NJ
Practice Address - Zip Code:07737
Practice Address - Country:US
Practice Address - Phone:732-708-9286
Practice Address - Fax:732-708-9286
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053162001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical