Doctor Name: | MR. RODNEY STEVE RICHARD |
NPI Number: | 1003034794 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | DP00941682 |
Business Practice Address: | 20 East Oak St. Oakland, MD - 21550 |
Business Phone Number: | 3013349126 |
Business Fax Number: | |
Mailing Address: | 451 Cumberland Road, OAKLAND |
State: | MD |
Postal Code: | 21550 |
Phone Number: | 3016168010 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | DP00941682 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |