Provider Demographics
NPI:1265648398
Name:FLEMING, RICHARD K (LICSW)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:K
Last Name:FLEMING
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ALEXIS DR
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-2776
Mailing Address - Country:US
Mailing Address - Phone:413-527-7552
Mailing Address - Fax:413-527-8522
Practice Address - Street 1:1200 CONVERSE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1760
Practice Address - Country:US
Practice Address - Phone:413-527-7552
Practice Address - Fax:413-527-8522
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10256121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical