Provider Demographics
NPI:1609923812
Name:RICHARDSON, DEBORAH LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LYNN
Last Name:RICHARDSON
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 1:209 CASTLEWOOD DRIVE
Mailing Address - Street 2:STE A
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-5163
Mailing Address - Country:US
Mailing Address - Phone:615-217-0248
Mailing Address - Fax:615-217-0266
Practice Address - Street 1:209 CASTLEWOOD DRIVE
Practice Address - Street 2:STE A
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-5163
Practice Address - Country:US
Practice Address - Phone:615-217-0248
Practice Address - Fax:615-217-0266
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN296636000OtherAETNA
TN296636000OtherMAGELLAN
TN2098758OtherCIGNA
TN296636000OtherHEALTHSPRING
TN4075968OtherBLUECROSSBLUESHIELD
TN3920806Medicaid
TNTN0101OtherAMERICHOICE
TN231462OtherCOMPSYCH
TN1041C0700XOtherAMERIGROUP
TN296636000OtherHEALTHSPRING