MEDICARE: JENNA K RICHARDSON MSW

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	374J00000X	Doula
2	1041C0700X	Clinical Social Worker	ASW35733	CA
3	1041C0700X	Clinical Social Worker	LCSW74449	CA

General Provider Information

NPI Number	:	1841531712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA K RICHARDSON MSW

Provider Business Mailing Address
First Line	:	5150 E PACIFIC COAST HWY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3312
Country	:	US
Telephone Number	:	978-844-2987
Fax Number	:

Provider Business Practice Location Address
First Line	:	5105 E PACIFIC COAST HWY
Second Line	:	SUITE 100
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3311
Country	:	US
Telephone Number	:	978-844-2987
Fax Number	:

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

Provider Enumeration Date	:	03/02/2013
Last Update Date	:	11/17/2016

Similar Medicare Providers

1013943000 — WILLOW MEDICAL GROUP
Practice Location Address:

3311 E WILLOW ST
LONG BEACH, CA
90806

Practice Phone: 562-424-4976
Practice Fax: 562-424-5960

1407882335 — DR. LAWRENCE J DOMARACKI
Practice Location Address:

3311 E WILLOW STREET
LONG BEACH, CA
90806

Practice Phone: 562-424-4976
Practice Fax: 562-424-5960

1396779567 — AMERICAN SLEEP DIAGNOSTICS LLC
Practice Location Address:

106 WILLOW CREEK DR
LONG BEACH, MS
39560-3311

Practice Phone: 228-865-3998
Practice Fax: 228-865-1665

1962587493 — DR. ROBB RUSSELL D.C.
Practice Location Address:

3311 E WILLOW ST
LONG BEACH, CA
90806-2310

Practice Phone: 562-424-4976
Practice Fax:

1679635700 — MRS. CARLA DAWN SCHEEL D.C
Practice Location Address:

3311 E WILLOW ST
LONG BEACH, CA
90806-2310

Practice Phone: 562-424-4976
Practice Fax:

1962557942 — AGENCY REHAB, INC.
Practice Location Address:

3311 E WILLOW ST
LONG BEACH, CA
90806-2310

Practice Phone: 562-426-2051
Practice Fax:

Directions to “ JENNA K RICHARDSON MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.