Gary Alan Richardson in Cleveland Hts - Clinical
Gary Alan Richardson - NPI 1407948086
Gary Alan Richardson is a Clinical in Cleveland Hts, Ohio. Gary Alan Richardson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Alan Richardson is 1407948086. The last update date is 2007-07-08.
Gary Alan Richardson's current location address is 874 Greyton Rd, Cleveland Hts, Ohio. You can contact this provider via phone number 2168517033 and fax number 2168511329. The mailing address for Gary Alan Richardson is 874 Greyton Rd, Cleveland Hts, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Alan Richardson |
|---|---|
| Address | 874 Greyton Rd, Cleveland Hts, Ohio |
| Phone Number | 2168517033 |
| Fax Number | 2168511329 |
| Sole Proprietor | N |
| Credentials | ACSW MSW L |
NPI Number Detail
| NPI Number | 1407948086 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 874 Greyton Rd |
|---|---|
| City | Cleveland Hts |
| State | Ohio (OH) |
| Post Code | 44112 |
| Phone Number | 2168517033 |
| Fax Number | 2168511329 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | S0030187 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| S0030187 | OH | SOCIAL WORK BOARD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Alan Richardson?
The Gary Alan Richardson has been issued the NPI (National Provider Identifier) 1407948086 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Gary Alan Richardson is physically located?
The Gary Alan Richardson is physically situated at the following address: 874 Greyton Rd, Cleveland Hts, OH, 44112.
What is the Gary Alan Richardson's specialty and taxonomy code?
The Gary Alan Richardson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Gary Alan Richardson's 1407948086 issued?
The Gary Alan Richardson's 1407948086 was issued on 2006-09-29.
As of what date was the information regarding Gary Alan Richardson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary Alan Richardson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.