Provider Demographics
NPI:1366518995
Name:SASON, RITA (LCSW)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:SASON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:
Other - Last Name:BROSBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 OLD STAGE ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816
Mailing Address - Country:US
Mailing Address - Phone:732-254-6125
Mailing Address - Fax:
Practice Address - Street 1:12 STULTS RD STE 123
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NJ
Practice Address - Zip Code:08810-1549
Practice Address - Country:US
Practice Address - Phone:908-812-4076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC01456700104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
643947Medicare ID - Type Unspecified