MEDICARE: FRANCESCA RICHARDSON MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC0479700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	90-0737784	OTHER	MD	TAX ID

General Provider Information

NPI Number	:	1518055326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCESCA RICHARDSON MSW

Provider Business Mailing Address
First Line	:	PO BOX 502
Second Line	:
City	:	RIVA
State	:	MD
Zip	:	21140-0502
Country	:	US
Telephone Number	:	443-924-0346
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 WEST ST STE 410
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-4198
Country	:	US
Telephone Number	:	443-924-0346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	10/30/2021

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