Reginald Charles Richardson in Evanston - Clinical
Reginald Charles Richardson - NPI 1508904962
Reginald Charles Richardson is a Clinical in Evanston, Illinois. Reginald Charles Richardson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Reginald Charles Richardson is 1508904962. The last update date is 2007-07-08.
Reginald Charles Richardson's current location address is 618 Library Pl, Evanston, Illinois. You can contact this provider via phone number 8477334300 and fax number 8477330390. The mailing address for Reginald Charles Richardson is 618 Library Pl, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reginald Charles Richardson |
|---|---|
| Address | 618 Library Pl, Evanston, Illinois |
| Phone Number | 8477334300 |
| Fax Number | 8477330390 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1508904962 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 618 Library Pl |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602012908 |
| Phone Number | 8477334300 |
| Fax Number | 8477330390 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to Reginald Charles Richardson by the Centers for Medicare & Medicaid Services?
The Reginald Charles Richardson has been assigned the NPI (National Provider Identifier) 1508904962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Reginald Charles Richardson is physically located?
The Reginald Charles Richardson is physically situated at the following address: 618 Library Pl, Evanston, IL, 602012908.
What is Reginald Charles Richardson's area of expertise and its corresponding taxonomy classification?
The Reginald Charles Richardson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Reginald Charles Richardson receive its 1508904962 assignment from the Centers for Medicare & Medicaid Services?
The Reginald Charles Richardson was assigned its 1508904962 by the Centers for Medicare & Medicaid Services on 2007-02-01.
As of what date were the details related to Reginald Charles Richardson most recently updated or revised?
The information pertaining to Reginald Charles Richardson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.