Robert Matthew Richey, LISW

Individual provider Active NPI Clinical Social Worker · Bellevue, KY

NPI 1700810249 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1700810249
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
I10118 (OH)
Practice address
103 Landmark Dr
Bellevue, KY 41073-1393
Phone
(859) 392-3962
Fax
(859) 392-3978
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
I10118OHMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I10118 OH Yes

Addresses

Primary practice location

103 Landmark Dr
Bellevue, KY 41073-1393

Mailing address

103 Landmark Dr
Bellevue, KY 41073-1393
Phone (859) 392-3962

Other providers in Bellevue, KY

All providers in Bellevue, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.