Provider Demographics
NPI:1356970024
Name:VOLOVIK, RIVKA (LSW)
Entity type:Individual
Prefix:MRS
First Name:RIVKA
Middle Name:
Last Name:VOLOVIK
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:RIVKY
Other - Middle Name:
Other - Last Name:SCHNEIERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:606 COOPER LANDING RD APT A2B
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1709
Mailing Address - Country:US
Mailing Address - Phone:917-648-5907
Mailing Address - Fax:
Practice Address - Street 1:1301 SPRINGDALE RD STE 150
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2763
Practice Address - Country:US
Practice Address - Phone:917-648-5907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-05
Last Update Date:2020-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06541400104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker