| Doctor Name: | KEVIN M. RICO |
| NPI Number: | 1154318368 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | CW013643 |
| Business Practice Address: | 624 Main St Irwin, PA - 156423407 |
| Business Phone Number: | 7248630226 |
| Business Fax Number: | 7248630226 |
| Mailing Address: | 1720 Melrose Ave, IRWIN |
| State: | PA |
| Postal Code: | 156423911 |
| Phone Number: | 7248633539 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2005 |
| NPI Last Update Date: | 10/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW013643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |