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NPI Code Detail

MEDICARE: ERIN RICHARD LCSW

MEDICARE:   ERIN  RICHARD  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 Worker17359FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538785936
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN RICHARD LCSW
Provider Business Mailing Address
First Line : 550 N REO ST STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33609-1037
Country : US
Telephone Number : 727-386-9255
Fax Number : 813-448-6242
Provider Business Practice Location Address
First Line : 550 N REO ST STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33609-1037
Country : US
Telephone Number : 727-386-9255
Fax Number : 813-448-6242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2020
Last Update Date : 11/11/2021

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