Healthcare Provider Details

I. General information

NPI: 1679436356
Provider Name (Legal Business Name): RICHARD PERKINS LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 W 48TH ST FL 1
NEW YORK NY
10036-1314
US

IV. Provider business mailing address

326 W 48TH ST FL 1
NEW YORK NY
10036-1314
US

V. Phone/Fax

Practice location:
  • Phone: 718-277-0386
  • Fax:
Mailing address:
  • Phone: 718-277-0386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number129647
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: