Individual provider · Type 1 NPI

Kimble L. Richardson, LCSW

Clinical Social Worker · Indianapolis, IN

NPI number 1073598629 Active

Practice location

7165 Clearvista Way
Indianapolis, IN 46256-4621

Call (317) 621-5756 Map

Mailing address

6626 E 75th Street, Ste 500
Indianapolis, IN 46250-2890

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X39000004A (IN)
Clinical Social Worker Primary 1041C0700X34002814A (IN)
Marriage & Family Therapist 106H00000X35000369A (IN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073598629

Kimble L. Richardson, LCSW's National Provider Identifier is 1073598629, issued on Dec 7, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 12, 2014.