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NPI Code Detail

MEDICARE: KELSI RICHARDSON LCSW

MEDICARE: KELSI RICHARDSON 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
11041C0700XClinical Social WorkerLCSW00001336KY

General Provider Information

NPI Number : 1538010897
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSI RICHARDSON LCSW
Provider Business Mailing Address
First Line : 401 HIGHLAND PARK DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-3839
Country : US
Telephone Number : 859-626-7700
Fax Number :
Provider Business Practice Location Address
First Line : 401 HIGHLAND PARK DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-3839
Country : US
Telephone Number : 859-626-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ KELSI RICHARDSON LCSW” Practice Location

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