Provider Demographics
NPI:1841639135
Name:LOMBINO, RICHARD MICHAEL II (LCSW)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:MICHAEL
Last Name:LOMBINO
Suffix:II
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 1:1521 CONCORD PIKE
Mailing Address - Street 2:WEST BLDG, 3RD FLOOR, SUITE 301
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803
Mailing Address - Country:US
Mailing Address - Phone:302-273-0700
Mailing Address - Fax:302-273-0605
Practice Address - Street 1:1521 CONCORD PIKE
Practice Address - Street 2:WEST BLDG, 3RD FLOOR, SUITE 301
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803
Practice Address - Country:US
Practice Address - Phone:302-273-0700
Practice Address - Fax:302-273-0605
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00012331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical