Deloris Avis Riddick, LCSW
Social Worker, Clinical in Richmond, VA. Individual provider (NPI-1).
NPI number1427062017
StatusActive
Last updated in NPPESApr 13, 2009
Details
- NPI
- 1427062017
- Entity type
- Individual (NPI-1)
- Name
- Deloris Avis Riddick
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Last updated
- Apr 13, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904002927 | VA | Yes |
Practice location
9702 Gayton Rd # 181Richmond, VA 23238-4907
Phone 804-741-7500 · Fax 804-741-7900
Mailing address
9702 Gayton Rd # 181Richmond, VA 23238-4907
Phone 804-741-7500 · Fax 804-741-7900
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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