Doctor Name: | MRS. KAREN DENISE RICHARDSON |
NPI Number: | 1134377310 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | LCS 15376 |
Business Practice Address: | 18 E Pine St Altadena, CA - 910014802 |
Business Phone Number: | 6264298652 |
Business Fax Number: | 6262962850 |
Mailing Address: | 18 E Pine St, ALTADENA |
State: | CA |
Postal Code: | 910014802 |
Phone Number: | 6264298652 |
Fax Number: | 6262962850 |
NPI Enumeration Date: | 08/31/2008 |
NPI Last Update Date: | 08/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 15376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |