Provider Demographics
NPI:1245388750
Name:PINSON, RICHARD L (MSW,PHD,LCSW)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:L
Last Name:PINSON
Suffix:
Gender:M
Credentials:MSW,PHD,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8008 NE 71ST LOOP
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-3673
Mailing Address - Country:US
Mailing Address - Phone:360-944-9530
Mailing Address - Fax:360-260-1949
Practice Address - Street 1:8008 NE 71ST LOOP
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-3673
Practice Address - Country:US
Practice Address - Phone:360-944-9530
Practice Address - Fax:360-260-1949
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000042451041C0700X
ORL01691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical