Provider Demographics
NPI:1235696360
Name:MCCARTHY, RIKKI LYN (DBH, LCSW)
Entity type:Individual
Prefix:DR
First Name:RIKKI LYN
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:
Credentials:DBH, LCSW
Other - Prefix:
Other - First Name:RIKKI LYN
Other - Middle Name:
Other - Last Name:HAUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 HAMILTON STREET, FLOOR 2
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:848-301-2162
Mailing Address - Fax:
Practice Address - Street 1:1201 HAMILTON STREET, FLOOR 2
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:848-301-2162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-25
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06434300104100000X
NJ44SC062013001041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical