Provider Demographics
NPI:1801123310
Name:KARGES, RICHARD ROBERT (LISW-S)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ROBERT
Last Name:KARGES
Suffix:
Gender:M
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9697 STATE ROUTE 534
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-9516
Mailing Address - Country:US
Mailing Address - Phone:440-693-4074
Mailing Address - Fax:440-693-4168
Practice Address - Street 1:9697 STATE ROUTE 534
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-9516
Practice Address - Country:US
Practice Address - Phone:440-693-4074
Practice Address - Fax:440-693-4168
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00016921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical