Provider Demographics
NPI:1952592636
Name:HAIM, RICCA ANN (MSW)
Entity type:Individual
Prefix:MS
First Name:RICCA
Middle Name:ANN
Last Name:HAIM
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-1805
Mailing Address - Country:US
Mailing Address - Phone:201-847-9203
Mailing Address - Fax:201-847-1068
Practice Address - Street 1:513 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-1805
Practice Address - Country:US
Practice Address - Phone:201-847-9203
Practice Address - Fax:201-847-1068
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001710001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical