Corey L Richardson (NPI# 1285962779, PAC ID# 4789867524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1285962779 |
| PAC ID by PECOS | 4789867524 |
| Professional Enrollment ID | I20110331000665 |
| Full Name | Corey L Richardson |
| Address |
224 S Arthur Ave Suite 2 Pocatello ID 83204-3202 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 224 S Arthur Ave, Suite 2, Pocatello, ID 83204-3202 |
| Street Address |
224 S ARTHUR AVE SUITE 2 |
| City | POCATELLO |
| State | ID |
| Zip | 83204-3202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacy D Hoffer | Clinical Social Worker | Gateway Counseling Incorporated | 224 S Arthur Ave, Suite 2, Pocatello, ID 83204-3202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deric V Ravsten | Psychiatry | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Karl M Letko | Physician Assistant | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Kebai D Bills | Physician Assistant | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Steven L Ater | Psychologist, Clinical | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Stephanie A Clark | Nurse Practitioner | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Michael L Stevens | Clinical Social Worker | 109 N Arthur Ave, Suite 203, Pocatello, ID 83204-3105 | |
| Aaron L Schaerrer | Clinical Social Worker | Hope Tree Inc | 109 N Arthur Ave, Suite 203, Pocatello, ID 83204-3105 |
| Trent P Turner | Clinical Social Worker | Hope Tree Inc | 109 N Arthur Ave, Suite 203, Pocatello, ID 83204-3105 |
| Nancy Wheeler | Clinical Social Worker | Candlewood Family Counseling Center, Inc. | 335 N Main St, Pocatello, ID 83204-3108 |
| Angela K. Kelly | Clinical Social Worker | Candlewood Family Counseling Center, Inc. | 335 N Main St, Pocatello, ID 83204-3108 |
| Find all physicians in zip 83204 | |||
| City | POCATELLO |
| Zip Code | 83204 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | POCATELLO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Corey L Richardson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.