Healthcare Provider Details

I. General information

NPI: 1972283497
Provider Name (Legal Business Name): SYDNEY DARTON-RITCHIE LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYDNEY DARTON

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1716 NORTH RD SE
WARREN OH
44484-2907
US

IV. Provider business mailing address

12206 CLIFTON BLVD APT 25
LAKEWOOD OH
44107-2191
US

V. Phone/Fax

Practice location:
  • Phone: 330-539-3200
  • Fax:
Mailing address:
  • Phone: 216-609-6456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.183853
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS2411074
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: