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NPI Code Detail

MEDICARE: CORISA RICCIARDI LCSW

MEDICARE: CORISA RICCIARDI 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
11041C0700XClinical Social WorkerCSW.09931892CO
21041C0700XClinical Social Worker61682518WA
31041C0700XClinical Social Worker9279TN

General Provider Information

NPI Number : 1649916719
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORISA RICCIARDI LCSW
Provider Business Mailing Address
First Line : 1921 GREENWOOD AVE APT E4
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-2436
Country : US
Telephone Number : 951-565-6475
Fax Number :
Provider Business Practice Location Address
First Line : 2002 EASTLAND AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-1705
Country : US
Telephone Number : 951-565-6475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2022
Last Update Date : 01/21/2026

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Directions to “ CORISA RICCIARDI LCSW” Practice Location

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