MEDICARE: MRS. KAREN BRIGGS 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
1	1041C0700X	Clinical Social Worker	149012083	IL

General Provider Information

NPI Number	:	1679690606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN BRIGGS RICHARDSON LCSW

Provider Business Mailing Address
First Line	:	13682 RIVER BIRCH CT
Second Line	:
City	:	DYER
State	:	IN
Zip	:	46311-7004
Country	:	US
Telephone Number	:	708-525-1770
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 E 103RD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60628-2807
Country	:	US
Telephone Number	:	773-371-3687
Fax Number	:

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

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	01/24/2024

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