Provider Demographics
NPI:1669818001
Name:RICHARDSON, JULIA MARGARET (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:MARGARET
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46050 MANEKIN PLZ STE 110
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6519
Mailing Address - Country:US
Mailing Address - Phone:571-926-2212
Mailing Address - Fax:703-359-0463
Practice Address - Street 1:46050 MANEKIN PLZ STE 110
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6519
Practice Address - Country:US
Practice Address - Phone:703-218-8500
Practice Address - Fax:703-359-0463
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500799941041C0700X
MD176881041C0700X
VA09040085131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical