Provider Demographics
NPI:1134618077
Name:STRICKLAND, RICHARD THOMAS (LCSW)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:THOMAS
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16117 LYTHAM DR
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-5408
Mailing Address - Country:US
Mailing Address - Phone:813-230-6688
Mailing Address - Fax:
Practice Address - Street 1:1006 W PLATT ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2116
Practice Address - Country:US
Practice Address - Phone:813-230-6688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW25571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical