Healthcare Provider Details

I. General information

NPI: 1538256912
Provider Name (Legal Business Name): RICHARD L POUNDS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 GROVE ST
MONTCLAIR NJ
07042-4202
US

IV. Provider business mailing address

174 GROVE ST
MONTCLAIR NJ
07042-4202
US

V. Phone/Fax

Practice location:
  • Phone: 212-877-8400
  • Fax: 212-956-5859
Mailing address:
  • Phone: 212-877-8400
  • Fax: 212-956-5859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC01291400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPR0188581
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: