Provider Demographics
NPI:1912420860
Name:STOKES, RICHARD PAUL (LSW)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:PAUL
Last Name:STOKES
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 MOUNTAIN PINE DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-8502
Mailing Address - Country:US
Mailing Address - Phone:717-512-8769
Mailing Address - Fax:
Practice Address - Street 1:2023 MOUNTAIN PINE DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-8502
Practice Address - Country:US
Practice Address - Phone:717-512-8769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129176104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker