Healthcare Provider Details

I. General information

NPI: 1649246901
Provider Name (Legal Business Name): KAREN ELIZABETH RICHARDSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN ELIZABETH JONES LCSW

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3534 URBANA PIKE STE C
FREDERICK MD
21704-7786
US

IV. Provider business mailing address

124 N COURT ST
FREDERICK MD
21701-6614
US

V. Phone/Fax

Practice location:
  • Phone: 301-304-7108
  • Fax: 301-732-7336
Mailing address:
  • Phone: 301-304-7108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904005201
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18607
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: