Provider Demographics
NPI:1205622180
Name:RICHMILLER, SOPHIA L (LCSW)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:L
Last Name:RICHMILLER
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 N COMMERCE ST APT 209
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-3490
Mailing Address - Country:US
Mailing Address - Phone:217-440-0076
Mailing Address - Fax:
Practice Address - Street 1:1902 N COMMERCE ST APT 209
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3490
Practice Address - Country:US
Practice Address - Phone:217-440-0076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12205-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical