Provider Demographics
NPI:1790806735
Name:RICHARDSON, HOPE DAVIS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HOPE
Middle Name:DAVIS
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 1:321 SOUTHERN CT
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:23075-1518
Mailing Address - Country:US
Mailing Address - Phone:804-737-9148
Mailing Address - Fax:
Practice Address - Street 1:222 N MAIN ST
Practice Address - Street 2:SUITE 320
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2712
Practice Address - Country:US
Practice Address - Phone:804-862-8000
Practice Address - Fax:804-541-6708
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040052821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical