Provider Demographics
NPI:1982737557
Name:RICHARDSON, CATHLEEN SUSAN PORTJE (MSW)
Entity Type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:SUSAN PORTJE
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 254947
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95865-4947
Mailing Address - Country:US
Mailing Address - Phone:415-600-0750
Mailing Address - Fax:415-600-0744
Practice Address - Street 1:3700 CALIFORNIA ST
Practice Address - Street 2:B 555
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1618
Practice Address - Country:US
Practice Address - Phone:415-600-0750
Practice Address - Fax:415-600-0744
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker