MEDICARE: MR. RICHARD L MCLAUGHLIN 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	PR021323-1	NY

General Provider Information

NPI Number	:	1649299421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD L MCLAUGHLIN LCSW

Provider Business Mailing Address
First Line	:	24 DAVIS AVE
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-2408
Country	:	US
Telephone Number	:	845-452-6855
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 DAVIS AVE
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-2408
Country	:	US
Telephone Number	:	845-452-6855
Fax Number	:

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	12/18/2012

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