Provider Demographics
NPI:1942224571
Name:RICHARDS, ANITA PATRICIA (MSW)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:PATRICIA
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16344 NORTHERN PINTAIL DR
Mailing Address - Street 2:
Mailing Address - City:HEMLOCK
Mailing Address - State:MI
Mailing Address - Zip Code:48626-8787
Mailing Address - Country:US
Mailing Address - Phone:989-293-3044
Mailing Address - Fax:
Practice Address - Street 1:16344 NORTHERN PINTAIL DR
Practice Address - Street 2:
Practice Address - City:HEMLOCK
Practice Address - State:MI
Practice Address - Zip Code:48626-8787
Practice Address - Country:US
Practice Address - Phone:989-293-3044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010728291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIG96288061Medicare PIN