Healthcare Provider Details

I. General information

NPI: 1245874288
Provider Name (Legal Business Name): DARA RITCHIE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2019
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

P.O. BOX 4250
SCHENECTADY NY
12304
US

IV. Provider business mailing address

P.O. BOX 4250
SCHENECTADY NY
12304
US

V. Phone/Fax

Practice location:
  • Phone: 518-618-4881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number104272
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number093866-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: