Provider Demographics
NPI:1336151398
Name:RICHEY, NORMAN P (LCSW)
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:P
Last Name:RICHEY
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 1:221 KIMBERLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-1626
Mailing Address - Country:US
Mailing Address - Phone:860-667-8324
Mailing Address - Fax:860-436-9805
Practice Address - Street 1:61 BRADLEY ST STE 4
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-5103
Practice Address - Country:US
Practice Address - Phone:860-589-2411
Practice Address - Fax:860-436-9805
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0001861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0005517250OtherAETNA INS. CO
CTOV7545OtherHEALTHNET INSURANCE
CT140000186CT01OtherANTHEM BC/BS
CT133637OtherVALUE OPTIONS INS. CO
CT181878OtherMHN INS. CO
CT740929OtherCONNECTCARE INSURANCE CO