Healthcare Provider Details

I. General information

NPI: 1659252807
Provider Name (Legal Business Name): CASSIDY ERIN RICKARDS M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 NAAMANS RD STE 110
CLAYMONT DE
19703-2301
US

IV. Provider business mailing address

650 NAAMANS RD STE 110
CLAYMONT DE
19703-2301
US

V. Phone/Fax

Practice location:
  • Phone: 302-546-6864
  • Fax:
Mailing address:
  • Phone: 302-546-6864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAC-0010501
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: