MEDICARE: NAUDEYA T RICHARDS LCSW

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	007180	CT

General Provider Information

NPI Number	:	1639454762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAUDEYA T RICHARDS LCSW

Provider Business Mailing Address
First Line	:	30 HAZEL TER STE 11
Second Line	:
City	:	WOODBRIDGE
State	:	CT
Zip	:	06525-2240
Country	:	US
Telephone Number	:	203-819-7650
Fax Number	:	203-248-9487

Provider Business Practice Location Address
First Line	:	30 HAZEL TER STE 11
Second Line	:
City	:	WOODBRIDGE
State	:	CT
Zip	:	06525-2240
Country	:	US
Telephone Number	:	203-819-7650
Fax Number	:	203-298-9487

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

Provider Enumeration Date	:	10/20/2011
Last Update Date	:	12/10/2025

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