MRS. CAROLYN RICHESON (NPI# 1629189345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629189345 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN RICHESON |
| Credential | MSW LCSW ACSW |
| Practice Address |
2121 Lake Ave Va Northern Indiana Fort Wayne IN 46808 |
| Mailing Address |
2121 Lake Ave Fort Wayne IN 46805 |
| Practice Telephone | 2604265431 |
| Practice Fax Number | 2604601481 |
| Mailing Telephone | 2604265431 |
| Mailing Fax Number | 2604601481 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 34003654A | IN | Behavioral Health & Social Service Providers |
| Street Address |
2121 LAKE AVE VA NORTHERN INDIANA |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021100 | Karen F Sloane | Podiatrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2005-05-24 |
| 1346848348 | Jodi Lyn Van Veld | Occupational Therapist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-10-12 |
| 1346854213 | Amy Solaro | Social Worker | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-09-08 |
| 1144831116 | Ann Marie Brunner | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-13 |
| 1871104042 | Lynne Koch | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1790396950 | Joseph Amin Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1144831678 | Youlijan Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-10 |
| 1881204139 | Lawrence Ejiofo | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-03 |
| 1821606575 | Nazret Tecle | Optometrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-07-20 |
| 1689291619 | Adam Kreiger | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
| 1396142063 | Christina Ryder | Specialist/Technologist | 3946 Iceway, Fort Wayne, IN 46808 | 2014-11-25 |
| 1912090440 | Neighborcare of Indiana, LLC | Pharmacy | 3402 Congressional Pkwy, Ft. Wayne, IN 46808 | 2006-10-02 |
| 1619945888 | Beth Ann Herrell | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2006-03-14 |
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1750851168 | Tyler Cheney | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-28 |
| 1487123550 | Michaela Mcguire | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-19 |
| 1861961088 | Olivia Marquardt | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-16 |
| Find all providers in zip 46808 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587548 | Laura Raquel Rochford | Social Worker | 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 | 2020-10-30 |
| 1801407689 | Hand Along The Way, LLC | Social Worker | 4118 Sandhurst Dr, Fort Wayne, IN 46815-5430 | 2020-08-13 |
| 1588200604 | Shalynn Grace Bailey | Social Worker | 2625 Medford Dr, Fort Wayne, IN 46803-3132 | 2019-11-24 |
| 1912363375 | Jay Alan Bastian | Social Worker | 5004 Woodhurst Blvd, Fort Wayne, IN 46807-3134 | 2016-01-14 |
| 1669757225 | Denise Jensen | Social Worker | 12306 Goldeneyes Ct, Fort Wayne, IN 46845-9160 | 2011-10-14 |
| 1679743033 | Sandra Ellen Chauhan | Social Worker | 8708 Woodstream Dr, Fort Wayne, IN 46804-6564 | 2008-03-01 |
| 1184815102 | James Scott Ferraro | Social Worker | 12527 Carroll Creek Run, Fort Wayne, IN 46818-8780 | 2007-08-06 |
| 1487870531 | Michelle A. Hoffman | Social Worker | Lutheran Hospital- Social Services, 7950 W. Jefferson Blvd., Fort Wayne, IN 46804 | 2007-04-17 |
| 1417083486 | Deborah Mcculloch | Social Worker | 3737 Lake Ave, Fort Wayne, IN 46805-5554 | 2007-02-26 |
| 1063432425 | Diana Lynn Pierce | Social Worker | 10305 Dawsons Creek Blvd Ste C, Fort Wayne, IN 46825-1914 | 2006-07-20 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46808 |
Please comment or provide details below to improve the information on MRS. CAROLYN RICHESON.
| 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.