Healthcare Provider Details

I. General information

NPI: 1538134929
Provider Name (Legal Business Name): CATHY RICHARDSON-BROWN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 08/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 MERRIMACK STREET LOWELL COMMUNITY HEALTH CENTER
LOWELL MA
01854
US

IV. Provider business mailing address

585 597 MERRIMACK STREET LOWELL COMMUNITY HEALTH CENTER
LOWELL MA
01854
US

V. Phone/Fax

Practice location:
  • Phone: 978-746-7778
  • Fax: 978-970-0359
Mailing address:
  • Phone: 978-746-7778
  • Fax: 978-970-0359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number107791
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: