Provider Demographics
NPI:1013128123
Name:RICHARDSON, JUDSON D (MSW, LGSW)
Entity Type:Individual
Prefix:MR
First Name:JUDSON
Middle Name:D
Last Name:RICHARDSON
Suffix:
Gender:M
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 HOBART ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-3705
Mailing Address - Country:US
Mailing Address - Phone:202-368-0938
Mailing Address - Fax:
Practice Address - Street 1:102 IRVING STREET NW
Practice Address - Street 2:ROOM 1024
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2949
Practice Address - Country:US
Practice Address - Phone:202-877-1467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker