Individual provider · Type 1 NPI

Ethan Kyle Richardson, MSW

Clinical Social Worker · Charlottesville, VA

NPI number 1366035727 Active

Practice location

100 W Jefferson St
Charlottesville, VA 22902-5023

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1366035727

Ethan Kyle Richardson, MSW's National Provider Identifier is 1366035727, issued on Feb 17, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlottesville, VA. The record was last updated on Feb 17, 2021.