MEDICARE: ROBIN RICHARDS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	01655-C	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01655-C	OTHER	NV	NV LCSW LICENSE

General Provider Information

NPI Number	:	1033364294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN RICHARDS LCSW

Provider Business Mailing Address
First Line	:	PO BOX 360001
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89036-8108
Country	:	US
Telephone Number	:	702-636-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 S RANCHO DR
Second Line	:	SUITE # 175
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3801
Country	:	US
Telephone Number	:	702-636-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2008
Last Update Date	:	12/01/2008

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