Doctor Name: | MS. SUSAN C RICHARDS |
NPI Number: | 1407879968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS 6794 |
Business Practice Address: | 224 Birmingham Dr Suite 1a1 Cardiff By The Sea, CA - 920071758 |
Business Phone Number: | 8584811237 |
Business Fax Number: | |
Mailing Address: | Po Box 3154, DEL MAR |
State: | CA |
Postal Code: | 920146154 |
Phone Number: | 8584811237 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 05/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 6794 |
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 |