COREY L RICHARDSON (NPI# 1285962779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285962779 |
| Entity Type | Individual |
| Full Name | COREY L RICHARDSON |
| Credential | LCSW |
| Practice Address |
427 N Main St Ste 101 Pocatello ID 83204-3016 |
| Practice Telephone | 2082423771 |
| Mailing Telephone | 2082423771 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2011-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IDAHO LCSW-28906 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LCSW | 28906 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952743668 | Corey John Richardson | Counselor | 211a S Nc 127 Hwy, Hickory, NC 28602-3541 | 2013-07-23 |
| 1912047275 | Corey Richardson | Case Manager/Care Coordinator | 17 93rd St, Keene, NH 03431-3748 | 2007-02-07 |
| 1467471748 | Corey R Richardson | Physician Assistant | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2006-07-18 |
| Street Address |
427 N MAIN ST STE 101 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811432966 | Linda Cantrell | Social Worker | 427 N Main St Ste 101, Pocatello, ID 83204-3016 | 2016-12-28 |
| 1437691557 | Stepping Stones Counseling and Mediation LLC | Community/Behavioral Health | 427 N Main St Ste 101, Pocatello, ID 83204-3016 | 2016-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1649638107 | Tamara Young | Social Worker | 707 N 7th Ave, Pocatello, ID 83201-5785 | 2016-01-29 |
| 1215302187 | Rocky Mountain Behavioral Health Center | Social Worker | 120 N 12th Ave, Ste. 1, Pocatello, ID 83201-4767 | 2015-12-03 |
| 1083017578 | Jennifer Marie Miles | Social Worker | 1368 El Rancho Blvd, Pocatello, ID 83201-2808 | 2014-09-29 |
| 1235437591 | William C. Slaven | Social Worker | 1135 Yellowstone Ave, Suite D, Pocatello, ID 83201-5082 | 2011-03-09 |
| 1538488200 | Joyce Marie Jones-hensen | Social Worker | 209 E Lewis St, Pocatello, ID 83201-6465 | 2010-05-20 |
| 1497955009 | Lynn David Olsen | Social Worker | 1169 Call Creek Dr Ste B, Pocatello, ID 83201-3077 | 2007-07-21 |
| 1740321538 | Richard I. Hooper | Social Worker | 921 S 8th Ave Stop 8256, Pocatello, ID 83209-0002 | 2007-02-12 |
| 1831249069 | New Generations Children and Family Center Inc | Social Worker | 1023 Yellowstone Ave, Suite J, Pocatello, ID 83201-4478 | 2007-01-11 |
| 1811046394 | Jared M Neal | Social Worker | 1169 Call Creek Place, Suite B, Pocatello, ID 83201-3071 | 2007-01-10 |
| Find all providers in POCATELLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.