Individual provider · Type 1 NPI

Misty Renee Richardson, LCSW

Clinical Social Worker · Bangor, ME

NPI number 1689004269 Active

Practice location

268 Stillwater Ave
Bangor, ME 04401-3945

Fax (207) 973-6437

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC14516 (ME)

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 1689004269

Misty Renee Richardson, LCSW's National Provider Identifier is 1689004269, issued on Nov 19, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bangor, ME. The record was last updated on Nov 19, 2013.