Nelson Richardson, LCSW
Social Worker, Clinical in Gainesville, VA. Individual provider (NPI-1).
NPI number1982201810
StatusActive
Last updated in NPPESOct 5, 2020
Details
- NPI
- 1982201810
- Entity type
- Individual (NPI-1)
- Name
- Nelson Richardson
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2020
- Certification date
- Oct 5, 2020
- Last updated
- Oct 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904009916 | VA | Yes |
Practice location
7520 Gardner Park DrGainesville, VA 20155-3414
Phone 571-248-2358
Mailing address
7520 Gardner Park DrGainesville, VA 20155-3414
Phone 571-248-2358
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