Provider Demographics
NPI:1073706560
Name:RICHMOND, DEBORAH ANN (MSW, LCSW, LCAC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ANN
Last Name:RICHMOND
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAC
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LSW
Mailing Address - Street 1:5741 N OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2906
Mailing Address - Country:US
Mailing Address - Phone:173-732-8896
Mailing Address - Fax:
Practice Address - Street 1:9135 N MERIDIAN ST STE B2
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1816
Practice Address - Country:US
Practice Address - Phone:317-732-8896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006021A1041C0700X
IN87001069A101YA0400X
IN33001891A.1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)