Provider Demographics
NPI:1205525730
Name:BRITTANY V RICHARDSON LICENSED CLINCIAL SOCIAL WORKER INC
Entity type:Organization
Organization Name:BRITTANY V RICHARDSON LICENSED CLINCIAL SOCIAL WORKER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-593-2768
Mailing Address - Street 1:3758 LORADO WAY
Mailing Address - Street 2:
Mailing Address - City:VIEW PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90043-1604
Mailing Address - Country:US
Mailing Address - Phone:860-593-2768
Mailing Address - Fax:
Practice Address - Street 1:3758 LORADO WAY
Practice Address - Street 2:
Practice Address - City:VIEW PARK
Practice Address - State:CA
Practice Address - Zip Code:90043-1604
Practice Address - Country:US
Practice Address - Phone:860-593-2768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRITTANY V RICHARDSON LICENSED CLINCIAL SOCIAL WORKER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health