JACK RICHARDSON (NPI# 1811924509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811924509 |
| Entity Type | Individual |
| Full Name | JACK RICHARDSON |
| Credential | LCSW |
| Practice Address |
2724 Capital Cir Ne Suite 8 Tallahassee FL 32308-1118 |
| Practice Telephone | 8506565112 |
| Practice Fax Number | 8506563902 |
| Mailing Telephone | 8506565112 |
| Mailing Fax Number | 8506563902 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2015-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW 4326 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487863593 | Jack Richardson | Dentist | 3633 Cortez Rd W, Bradenton, FL 34210-3119 | 2007-05-22 |
| Street Address |
2724 CAPITAL CIR NE SUITE 8 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982613675 | Richard D Hamilton | Optometrist | 2724 Capital Cir Ne, Tallahassee, FL 32308-4108 | 2006-08-05 |
| 1043229669 | Richard D Hamilton Od Pa | Optometrist | 2724 Capital Cir Ne, #1, Tallahassee, FL 32308-4108 | 2006-08-05 |
| 1477561165 | Allan O Dean | Optometrist | 2724 Capital Cir Ne, Tallahassee, FL 32308-4108 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1861090995 | Canopy Counseling & Consulting LLC | Social Worker | 2709-4 Killarney Way, Tallahassee, FL 32309 | 2020-10-12 |
| 1194332056 | Antonio Lamar Wyche | Social Worker | 4047 Ailanthus Ct, Tallahassee, FL 32305-5003 | 2020-09-24 |
| 1093328098 | Sarah Ora Rawlings | Social Worker | 3333 West Pensacola Street, Suite 400, Tallahassee, FL 32304-2888 | 2020-08-28 |
| 1932719614 | Wisdom Finders, LLC | Social Worker | 2902 S Monroe St, Tallahassee, FL 32301-6954 | 2020-08-06 |
| 1861011017 | Jessica Gilbert | Social Worker | 2407 Roberts Ave, Tallahassee, FL 32310-8136 | 2020-04-08 |
| 1720616675 | Cristin S Dobrowolski | Social Worker | 3333 W Pensacola St Ste 330, Tallahassee, FL 32304-2888 | 2020-03-27 |
| 1629604194 | Kendra Pearl Alex | Social Worker | 2740 Spring Forest Rd, Tallahassee, FL 32301-3332 | 2020-03-17 |
| 1912540147 | Elysia Renee Andrew | Social Worker | 1000 W Tharpe St Ste 15, Tallahassee, FL 32303-5311 | 2019-10-21 |
| 1457903940 | Matthew Jonathan Tutterow | Social Worker | 1316 Jackson St, Tallahassee, FL 32303-5437 | 2019-07-15 |
| 1245882737 | Jasmine N Sheppard | Social Worker | 1063 Copper Creek Dr, Tallahassee, FL 32311-4087 | 2019-07-15 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on JACK RICHARDSON.
| 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.