Healthcare Provider Details

I. General information

NPI: 1790806735
Provider Name (Legal Business Name): HOPE DAVIS RICHARDSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 03/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 N MAIN ST SUITE 320
HOPEWELL VA
23860-2712
US

IV. Provider business mailing address

321 SOUTHERN CT
HIGHLAND SPRINGS VA
23075-1518
US

V. Phone/Fax

Practice location:
  • Phone: 804-862-8000
  • Fax: 804-541-6708
Mailing address:
  • Phone: 804-737-9148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904005282
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: