Provider Demographics
NPI:1942369103
Name:RICHMOND-SMITH, JOY (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:
Last Name:RICHMOND-SMITH
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:RICHMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:8 COMMON ST
Mailing Address - Street 2:#2
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-2030
Mailing Address - Country:US
Mailing Address - Phone:781-570-9453
Mailing Address - Fax:
Practice Address - Street 1:112 MARKET ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1125
Practice Address - Country:US
Practice Address - Phone:781-570-9453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA113519104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker