Provider Demographics
NPI:1548777493
Name:RICHARDS, DESIREE KATHRYN (LCSW)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:KATHRYN
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7103 CAMP CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3363
Mailing Address - Country:US
Mailing Address - Phone:214-301-0633
Mailing Address - Fax:
Practice Address - Street 1:5424 RUFE SNOW DR STE 304
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6686
Practice Address - Country:US
Practice Address - Phone:817-576-2447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-01
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX602941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical