Provider Demographics
NPI:1952970915
Name:RICHARDSON, KIANNA (MS, LMSW)
Entity Type:Individual
Prefix:MRS
First Name:KIANNA
Middle Name:
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:MS, LMSW
Other - Prefix:MS
Other - First Name:KIANNA
Other - Middle Name:
Other - Last Name:HERRIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1822 TRENLEIGH RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3833
Mailing Address - Country:US
Mailing Address - Phone:412-251-7439
Mailing Address - Fax:
Practice Address - Street 1:1822 TRENLEIGH RD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-3833
Practice Address - Country:US
Practice Address - Phone:412-251-7439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD270701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical