Provider Demographics
NPI:1366599722
Name:RIDER, SHARON DAYE (LCSW, LCADC)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:DAYE
Last Name:RIDER
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3461 US HIGHWAY 22
Mailing Address - Street 2:BLDG 5
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-6021
Mailing Address - Country:US
Mailing Address - Phone:908-735-6868
Mailing Address - Fax:908-253-0141
Practice Address - Street 1:3461 US HWY 22
Practice Address - Street 2:BLDG 5
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-6021
Practice Address - Country:US
Practice Address - Phone:908-735-6868
Practice Address - Fax:908-253-0141
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04638300101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health