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MICHELLE RICHARDSON LCSW LLC NPI 1538556345


NPI Information

NPI: 1538556345
Provider Name: MICHELLE RICHARDSON, LCSW LLC

Doing Business As: MINDFUL SOUL CENTER FOR WELLBEING

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
739 S WHITE HORSE PIKE
STE. 10
AUDUBON, NJ
ZIP 08106
Phone: (856) 617-4544
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MICHELLE RICHARDSON, LCSW LLC is a clinical social worker in Audubon, NJ. The provider is 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. MICHELLE RICHARDSON, LCSW LLC NPI is 1538556345. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mindful Soul Center For Wellbeing.

The provider's business location address is:

739 S WHITE HORSE PIKE
STE. 10
AUDUBON, NJ
ZIP 08106-659
Phone: (856) 617-4544

The provider's authorized official is Michelle Richardson .
The authorized official title is Executive Director and has the following contact phone number (609) 238-9928.

The enumeration date for this NPI number is 4/20/2015 and was last updated on 4/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical44SC05386700NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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