MEDICARE: CHERE RICHARDS LCSW, C-SSWS

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	1041S0200X	School Social Worker	7202	LA

General Provider Information

NPI Number	:	1033987094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERE RICHARDS LCSW, C-SSWS

Provider Business Mailing Address
First Line	:	1484 WOODLAND HWY
Second Line	:
City	:	BELLE CHASSE
State	:	LA
Zip	:	70037-1672
Country	:	US
Telephone Number	:	504-595-6400
Fax Number	:	504-398-0844

Provider Business Practice Location Address
First Line	:	1484 WOODLAND HWY
Second Line	:
City	:	BELLE CHASSE
State	:	LA
Zip	:	70037-1672
Country	:	US
Telephone Number	:	504-595-6400
Fax Number	:	504-398-0844

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

Provider Enumeration Date	:	12/19/2023
Last Update Date	:	12/19/2023

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