Individual provider · Type 1 NPI

Roberto Fernando Richardson, MA

Clinical Social Worker · Elkhart, IN

NPI number 1821129669 Active

Practice location

500 N Nappanee St Ste 4A
Elkhart, IN 46514-1502

Call (574) 522-8992 Map

Fax (574) 232-8968

Mailing address

611 Lincoln Way E
South Bend, IN 46601-3220

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
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 1821129669

Roberto Fernando Richardson, MA's National Provider Identifier is 1821129669, issued on Mar 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elkhart, IN. The record was last updated on Jul 10, 2009.