Active NPIIndividual providerSole proprietor

Ricky Yaverbaum, LCSW

Social Worker, Clinical in Short Hills, New Jersey

NPI Number1891824181
Practice location
12 Deerfield RD, Short Hills, NJ 07078-1404
Fax
—
Last updated
July 8, 2007

Ricky Yaverbaum is a Social Worker, Clinical based in Short Hills, NJ. Ricky Yaverbaum practices in Short Hills, NJ and has the professional credentials of LCSW. The NPI Number for Ricky Yaverbaum is 1891824181 and holds a License No. 44SC04996300 (NJ). The current practice location address for Ricky Yaverbaum is 12 Deerfield RD, Short Hills, NJ 07078-1404 and can be reached out via phone at 201-486-7119.

Provider Profile Details

NPI Number
1891824181
Provider Name
Ricky Yaverbaum
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
12 Deerfield RD, Short Hills, NJ 07078-1404
Phone Number
201-486-7119
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 5, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Deerfield RD
Short Hills, NJ 07078-1404
Zip
07078-1404
Phone Number
201-486-7119
Short Hills, NJ 07078Get directions →

Provider Business Mailing Address Details

Address
12 Deerfield RD
Short Hills, NJ 07078-1404
City
Short Hills
State
NJ
Zip
07078-1404
Phone Number
201-486-7119

License Information

License Number
44SC04996300
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ricky Yaverbaum, LCSW?

The NPI number of Ricky Yaverbaum, LCSW is 1891824181. It was assigned on March 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Ricky Yaverbaum, LCSW?

Ricky Yaverbaum, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04996300.

Where does Ricky Yaverbaum, LCSW practice?

The practice location is 12 Deerfield RD, Short Hills, NJ 07078-1404. The office can be reached at 201-486-7119 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891824181 directly on the NPPES registry website.

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