Individual
PAUL V. RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
41900 FENWICK ST, SUITE 1, LEONARDTOWN, MD 20650-3813
(301) 475-9660
(301) 475-8810
Mailing address
PO BOX 643, SOLOMONS, MD 20688-0643
(410) 326-4933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
04310
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293611000
MAGELLAN
MD
01
—
517B 54808903
CAREFIRST BCBS
MD
01
—
620828
MDIPA
MD
01
—
B950 0003
CAREFIRST BCBS FEP & NCA
MD
01
—
PVPB114921
APS
MD
Enumeration date
08/21/2006
Last updated
01/08/2013
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