DR. SAMUEL RICHARDSON III (NPI# 1437403326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437403326 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL RICHARDSON III |
| Credential | D.C.C., L.C.P.C. |
| Practice Address |
504 W 5th St Wilmington DE 19801-2112 |
| Practice Telephone | 3023547862 |
| Practice Fax Number | 3024280279 |
| Mailing Telephone | 3023547862 |
| Mailing Fax Number | 3024280279 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
15461 | DE | Behavioral Health & Social Service Providers |
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
15461 | DE | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 15461 | DE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164719084 | Samuel Lee Richardson | Marriage & Family Therapist | 6250 N Durango Dr, Las Vegas, NV 89149-3916 | 2011-06-29 |
| 1760455836 | Samuel Wesley Richardson | Specialist/Technologist | 401 Cox Blvd, Unit E, Sheffield, AL 35660-4058 | 2006-02-09 |
| 1649808312 | Samuel Richardson | Student in an Organized Health Care Education/Training Program | 3100 N. Tenaya Way, Graduate Medical Education, Las Vegas, NV 89128-0431 | 2020-03-30 |
| 1023675006 | Samuel Evan Richardson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2019-05-24 |
| 1740214196 | Samuel Milton Richardson IIi | Emergency Medicine | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-07-10 |
| Street Address |
504 W 5TH ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619218583 | Sandra Cooper | Counselor | 2501 Milltown Rd, Wilmington, DE 19808-3909 | 2013-03-02 |
| 1679839799 | Jeffrey D Stark | Counselor | 1006 Wilson Rd, Wilmington, DE 19803-3449 | 2012-04-03 |
| 1609132570 | Robin B. Johnston | Counselor | 1006 Wilson Rd, Wilmington, DE 19803-3449 | 2012-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366904542 | Jahzuyan M Sawo | Counselor | 804 Peachtree Rd Apt G, Claymont, DE 19703-2286 | 2019-04-05 |
| 1558889865 | Linda Marie Slone | Counselor | 112 Navaho Ct, Newark, DE 19702-1910 | 2017-09-07 |
| 1508392259 | Pamela Adams | Counselor | 277 Gunning Bedford Dr, Dover, DE 19904-5417 | 2017-05-02 |
| 1073796447 | East Gate Connections | Counselor | 4297 Vernon Rd, Apt B, Harrington, DE 19952-4215 | 2007-12-08 |
| 1376670844 | The Clinical Pastoral Counseling Program of Kent and Sussex Counties | Counselor | Pine and Poplar Stree, St. Johns United Methodist Church, Seaford, DE 19973-0299 | 2007-02-28 |
| 1578616488 | Doris Venetta Obenshain | Counselor | 525 Polly Drummond Hill Rd, Newark, DE 19711-4342 | 2007-01-22 |
| 1710029319 | Jeffrey Dean Ernst | Counselor | 8 Polly Drummond Hill Rd, Newark, DE 19711-5703 | 2007-02-12 |
| City | WILMINGTON |
| Zip Code | 19801 |
Please comment or provide details below to improve the information on DR. SAMUEL RICHARDSON III.
| 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.